Organization
KC MEDICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED MOALEM (OWNER)
(703) 372-5980
Entity
Organization
Contact information
Practice address
9455 LORTON MARKET ST, SUITE 101, LORTON, VA 22079-1962
(703) 372-5980
(703) 372-5981
Mailing address
9455 LORTON MARKET ST, SUITE 101, LORTON, VA 22079-1962
(703) 372-5980
(703) 372-5981
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/08/2010
Last updated
04/08/2010
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