Organization
KYBRA PRODUCTS, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT TRUITT JR. (MANAGER)
(267) 760-1850
Entity
Organization
Contact information
Practice address
3070 BRISTOL PIKE STE 2-120, BENSALEM, PA 19020-5357
(215) 600-1310
(267) 463-4849
Mailing address
3070 BRISTOL PIKE STE 2-120, BENSALEM, PA 19020-5357
(215) 600-1310
(267) 463-4849
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
6000008234
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7096950001
MEDICARE PTAN
PA
Enumeration date
11/12/2013
Last updated
03/01/2016
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