Organization
WELLNESS DIABETES SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN PAUL KRATZBERG (PRESIDENT)
(504) 712-1414
Entity
Organization
Contact information
Practice address
500 VINTAGE DR, SUITE A, KENNER, LA 70065
(504) 712-1414
(504) 712-1418
Mailing address
500 VINTAGE DR, SUITE A, KENNER, LA 70065
(504) 712-1414
(504) 712-1418
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1544167
—
LA
Enumeration date
06/11/2006
Last updated
08/22/2020
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