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KENNETH B. REHM D.P.M. NPI 1770714396


NPI Information

NPI: 1770714396
Provider Name: KENNETH B. REHM, D.P.M.

Doing Business As: DIABETIC FOOT & WOUND MGM

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1600 S IMPERIAL AVE
SUITE 3
EL CENTRO, CA
ZIP 92243
Phone: (760) 335-3545
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KENNETH B. REHM, D.P.M. is a durable medical equipment medical supplies in El Centro, CA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. KENNETH B. REHM, D.P.M. NPI is 1770714396. The provider is registered as an organization entity type.
The provider Is Doing Business As Diabetic Foot & Wound Mgm.

The provider's business location address is:

1600 S IMPERIAL AVE
SUITE 3
EL CENTRO, CA
ZIP 92243-242
Phone: (760) 335-3545
Fax: (760) 335-3613

The provider's authorized official is Kenneth Bruce Rehm .
The authorized official title is Owner and has the following contact phone number (760) 744-6226.

The enumeration date for this NPI number is 7/30/2009 and was last updated on 2/19/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesE2808CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000E28081MEDICAIDCALIFORNIA
2T11476MEDICARE UPINCALIFORNIA
35287540002MEDICARE NSCCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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