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KC HEALTHCARE SUPPLIES LLC NPI 1982890653


NPI Information

NPI: 1982890653
Provider Name: KC HEALTHCARE SUPPLIES LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
5425 SUGARLOAF PKWY
SUITE#1100
LAWRENCEVILLE, GA
ZIP 30043
Phone: (678) 377-9660
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KC HEALTHCARE SUPPLIES LLC is a durable medical equipment medical supplies in Lawrenceville, GA. 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. KC HEALTHCARE SUPPLIES LLC NPI is 1982890653. The provider is registered as an organization entity type.

The provider's business location address is:

5425 SUGARLOAF PKWY
SUITE#1100
LAWRENCEVILLE, GA
ZIP 30043-764
Phone: (678) 377-9660
Fax: (678) 377-9566

The provider's authorized official is Chinwe O'koli .
The authorized official title is Ceo and has the following contact phone number (678) 377-9660.

The enumeration date for this NPI number is 9/17/2007 and was last updated on 6/17/2011.


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 Supplies07072500GEORGIAYes

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
16025790001MEDICARE NSCGEORGIA
2=========OTHERGEORGIABLUE CROSS AND BLUE SHIELD .
321677 PARENT ID 2292OTHERGEORGIACARECENTRIX
4=========OTHERGEORGIATRICARE
56025790001MEDICARE PINGEORGIA
6645147770AMEDICAIDGEORGIA

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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