Organization
KAY ONE SOURCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KAYLYN C LITTLE (PRESIDENT)
(678) 683-7248
Entity
Organization
Contact information
Practice address
1911 DAVID DR, DOUGLASVILLE, GA 30135-6824
(678) 683-7248
(770) 948-8144
Mailing address
1911 DAVID DR, DOUGLASVILLE, GA 30135-6824
(678) 683-7248
(770) 948-8144
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
GA
Other
Enumeration date
04/30/2009
Last updated
04/30/2009
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