Organization
KMR MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JODY ROOKSTOOL (CEO)
(801) 692-1355
Entity
Organization
Contact information
Practice address
831 E 340 S, SUITE 150, AMERICAN FORK, UT 84003-3327
(801) 692-1354
(888) 933-1363
Mailing address
831 E 340 S, SUITE 150, AMERICAN FORK, UT 84003-3327
(801) 692-1354
(888) 933-1363
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
UT
Other
Enumeration date
07/27/2012
Last updated
07/27/2012
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