Organization
K&B MEDICAL WIGS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KETURAH CARLETA TOLBERT (CEO)
(248) 662-6854
Entity
Organization
Contact information
Practice address
16250 NORTHLAND DR. STE 221, SOUTHFIELD, MI 48075
(248) 662-6854
Mailing address
19785 W 12 MILE RD # 155, SOUTHFIELD, MI 48076-2584
(248) 662-6854
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
07/24/2020
Last updated
07/24/2020
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