Organization
KEENE MEDICAL PRODUCTS, LLC
Active
Other names
Keene Medical Products, INC
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY RUSSALESI (CHIEF COMPLIANCE OFFICER/ AO)
(484) 246-9499
Entity
Organization
Contact information
Practice address
5 LANDING RD, ENFIELD, NH 03748-3545
(603) 448-5225
(603) 442-6000
Mailing address
555 E NORTH LN STE 5075, CONSHOHOCKEN, PA 19428-2490
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
02866
NH
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00489818
—
NY
05
—
007038
—
VT
05
—
1004915
—
VT
05
—
13936000
—
ME
05
—
80547038
—
NH
Enumeration date
11/03/2005
Last updated
10/14/2025
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