Organization
KC MED SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH CHRYSOSTOME (OWNER)
(800) 304-1755
Entity
Organization
Contact information
Practice address
2411 SAND LAKE RD STE I, ORLANDO, FL 32809-7661
(800) 304-1755
Mailing address
2411 SAND LAKE RD STE I, ORLANDO, FL 32809-7661
(800) 304-1755
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/25/2021
Last updated
10/04/2021
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