Organization
KMBRUNSON LLC
Active
Parent organization
KMBRUNSON LLC
Other names
KB Wholesale
Organization subpart
Yes
Provider details
NPI number
Legal business name
KMBRUNSON LLC
Authorized official
KIMBERLY BRUNSON APRN (CEO)
(318) 259-1100
Entity
Organization
Contact information
Practice address
4693 QUITMAN HWY, HODGE, LA 71247
(318) 259-1100
(318) 259-1333
Mailing address
PO BOX 70, HODGE, LA 71247-0070
(318) 259-1100
(318) 259-1333
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/24/2023
Last updated
10/25/2023
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