Organization
K & K MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM J SHITTU (PRESIDENT)
(909) 356-4888
Entity
Organization
Contact information
Practice address
17410 FOOTHILL BLVD, SUITE C, FONTANA, CA 92335-3651
(909) 356-4888
(909) 356-4920
Mailing address
17410 FOOTHILL BLVD, SUITE C, FONTANA, CA 92335-3651
(909) 356-4888
(909) 356-4920
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5954070001
CA
Other
Enumeration date
12/15/2006
Last updated
11/06/2007
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