Organization
KINSOMA MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE SEXTON (CREDENTIALING MANAGER)
(724) 349-5800
Entity
Organization
Contact information
Practice address
175 CAPITAL BLVD FL 4, ROCKY HILL, CT 06067-3914
(724) 349-5800
Mailing address
175 CAPITAL BLVD FL 4, ROCKY HILL, CT 06067-3914
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
CT
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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