Organization
KMW MODIFICATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTIN M. WILHELMI (PRESIDENT)
(419) 841-3095
Entity
Organization
Contact information
Practice address
6997 RAMBLEHURST RD, SYLVANIA, OH 43560-3548
(419) 841-3095
(419) 841-3095
Mailing address
6997 RAMBLEHURST RD, SYLVANIA, OH 43560-3548
(419) 841-3095
(419) 841-3095
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/23/2009
Last updated
02/23/2009
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