Organization
KINNEY HOMECARE EQUIPMENT AND SUPPLIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA V BARBER (VP MANAGED CARE CONTRACTING & PAYOR)
(315) 413-7800
Entity
Organization
Contact information
Practice address
6598 STATE HIGHWAY 56, POTSDAM, NY 13676-3510
(315) 265-1161
(315) 265-0861
Mailing address
PO BOX 27, 21087 NYS RT 12F, WATERTOWN, NY 13601-0027
(315) 788-8280
(315) 785-9715
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NY
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NY
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
NY
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02837772
—
NY
Enumeration date
07/25/2006
Last updated
07/21/2022
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