Kim John Kaiser
Durable Medical Equipment & Medical Supplies in East Lyme, CT. Individual provider (NPI-1).
NPI number1114005683
StatusActive
Last updated in NPPESApr 4, 2013
Details
- NPI
- 1114005683
- Entity type
- Individual (NPI-1)
- Name
- Kim John Kaiser
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 1, 2006
- Last updated
- Apr 4, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
| 171W00000X | Contractor | 06-1357833 | CT |
Practice location
37 Cardinal RdEast Lyme, CT 06333-1045
Phone 860-691-3033 · Fax 860-691-3006
Mailing address
37 Cardinal RdEast Lyme, CT 06333-1045
Phone 860-691-3033 · Fax 860-691-3006
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