Organization
KELLY-SCISM LLC
Active
Other names
EZ In and Out
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD KELLY (MEMBER)
(800) 365-7137
Entity
Organization
Contact information
Practice address
110 OAKWOOD DR STE 200, WINSTON SALEM, NC 27103-1958
(800) 365-7137
Mailing address
110 OAKWOOD DR STE 200, WINSTON SALEM, NC 27103-1958
(800) 365-7137
(336) 714-2671
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18241245
TPIN
NC
Enumeration date
07/02/2007
Last updated
08/22/2020
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