Organization
KEVMED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MARK WISEMAN PHD (PRESIDENT)
(972) 931-5596
Entity
Organization
Contact information
Practice address
17304 PRESTON RD STE 800, DALLAS, TX 75252-5645
(972) 931-5596
(972) 931-5476
Mailing address
17304 PRESTON RD STE 800, DALLAS, TX 75252-5645
(972) 931-5596
(972) 931-5476
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
801645295
TX
Other
Enumeration date
11/10/2015
Last updated
11/14/2019
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