Organization
KEGELCOMPARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY J PORTER RN (PARTNER)
(702) 759-2710
Entity
Organization
Contact information
Practice address
9405 S EASTERN AVE APT 1048, LAS VEGAS, NV 89123-3991
(702) 759-2710
Mailing address
9405 S EASTERN AVE APT 1048, LAS VEGAS, NV 89123-3991
(702) 759-2710
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
608043
NV
Other
Enumeration date
09/02/2006
Last updated
08/22/2020
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