Organization
KELNER SPECIALTY INFUSION SERVICES, LLC
Active
Other names
Vital Care of Greensboro
Organization subpart
No
Provider details
NPI number
Authorized official
VANETTA COX BONNER (DNP)
(202) 725-8603
Entity
Organization
Contact information
Practice address
3200 NORTHLINE AVE STE 110, GREENSBORO, NC 27408-7600
(336) 604-0256
(336) 604-0257
Mailing address
3304 EAGLE TRL, RALEIGH, NC 27615-4023
(919) 624-6533
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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