Organization
K&MT
Active
Other names
Kmsa, K&M TESTING KMSA
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA WILSON (OWNER)
(480) 241-2197
Entity
Organization
Contact information
Practice address
411 E INDIAN SCHOOL RD APT 2119, PHOENIX, AZ 85012-1886
(480) 241-2197
Mailing address
1701 E MEADOWBROOK AVE APT 346, PHOENIX, AZ 85016-5113
(480) 241-2197
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
02/21/2022
Last updated
03/16/2022
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