Organization
KIGHT'S MEDICAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN A KIGHT RPH (CEO AND PRESIDENT)
(919) 878-6666
Entity
Organization
Contact information
Practice address
901 PORT CENTRE PKWY, SUITE 8, PORTSMOUTH, VA 23704-6761
(757) 392-3670
(757) 966-1337
Mailing address
201 KITTY HAWK DR, SUITE 95, MORRISVILLE, NC 27560-7659
(919) 878-6666
(919) 878-4411
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009111361
—
VA
01
—
196307
BCBS
VA
Enumeration date
07/08/2008
Last updated
03/06/2012
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