Organization
KSP MEDICAL LLC
Active
Organization
KSP MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDULLAHI MOHAMED (PRESIDENT)
(612) 599-4169
Entity
Organization
Contact information
Practice address
15731 FREMONT WAY, APPLE VALLEY, MN 55124-6531
(612) 599-4169
Mailing address
7635 148TH ST W # 135, APPLE VALLEY, MN 55124-7800
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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