Organization
KB MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MICHAEL KOLISEK (OWNER)
(413) 297-1198
Entity
Organization
Contact information
Practice address
8455, CASTLEWOOD DRIVE, SUITE J, IDIANAPOLIS, IN 46250
(317) 727-2791
(317) 859-0912
Mailing address
8455, CASTLEWOOD DRIVE, SUITE J, IDIANAPOLIS, IN 46250
(317) 727-2791
(317) 859-0912
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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