Organization
K-9 EDGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN CAMERON (PRESIDENT)
(916) 769-0195
Entity
Organization
Contact information
Practice address
23025 N 15TH AVE, SUITE 103, PHOENIX, AZ 85027-1409
(916) 769-0195
Mailing address
23025 N 15TH AVE, SUITE 103, PHOENIX, AZ 85027-1409
(916) 769-0195
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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