Organization
KN ENTERPRISE, LLC
Active
Other names
Southern Mobility Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL J RAVEY (OWNER)
(225) 939-4904
Entity
Organization
Contact information
Practice address
9163 COMAR DRIVE, SUITE A, WALKER, LA 70785-7019
(504) 715-6658
Mailing address
1801 MANHATTAN BLVD, SUITE J226, HARVEY, LA 70058-7300
(504) 715-6658
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2503472
—
LA
Enumeration date
08/02/2024
Last updated
08/02/2024
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