Organization
KIDS KORNER MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA L WEYHE JD (COO/SHAREHOLDER)
(408) 250-8060
Entity
Organization
Contact information
Practice address
165 LEWIS RD #10, SAN JOSE, CA 95111
(418) 971-1034
(408) 971-6665
Mailing address
165 LEWIS RD #10, SAN JOSE, CA 95111
(418) 971-1034
(408) 971-6665
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
DME00311F
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME00311F
—
CA
Enumeration date
09/15/2006
Last updated
05/12/2026
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