KSB MEDICAL GROUP, INC.; NPI #1306814603

Contact Information

KSB MEDICAL GROUP, INC.

511 PALMYRA ST
DIXON, IL 61021-1953

Phone: 815-284-2020
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for KSB MEDICAL GROUP, INC.

NPI Number 1306814603

LBN Legal business name KSB MEDICAL GROUP, INC.

Authorized official AUSTIN FRAZIER - (CFO)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/10/2006

Last updated 12/29/2022 - About 3 years ago

Identifiers

Other

0169800003

MEDICARE DMEPOS NUMBER

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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KSB MEDICAL GROUP, INC.

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for KSB MEDICAL GROUP, INC.

Reviews for KSB MEDICAL GROUP, INC.