Organization
KIMLOR MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAL DEJARNATT (OWNER)
(479) 872-1885
Entity
Organization
Contact information
Practice address
830 E ROBINSON AVE, STE B, SPRINGDALE, AR 72764-7113
(479) 872-1885
(479) 872-1889
Mailing address
PO BOX 7510, SPRINGDALE, AR 72766-7510
(479) 872-1885
(479) 872-1889
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/19/2009
Last updated
02/19/2009
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