Organization
KSS DURABLE MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH DAVID SIMON (PRESIDENT OWNER OPERATOR)
(405) 385-5040
Entity
Organization
Contact information
Practice address
5209 N JARDOT, STILLWATER, OK 74075-6128
(405) 385-5040
(405) 385-5009
Mailing address
5209 N JARDOT, STILLWATER, OK 74075-6128
(405) 385-5040
(405) 385-5009
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/08/2007
Last updated
10/14/2008
Update your record
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