KSB MEDICAL GROUP, INC.; NPI #1487975603

Contact Information

KSB MEDICAL GROUP, INC.

511 PALMYRA ST
DIXON, IL 61021-1953

Phone: 815-284-2020
Fax: 815-284-8326
Website:

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

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NPI Profile & details for KSB MEDICAL GROUP, INC.

NPI Number	`1487975603`
LBN Legal business name	KSB MEDICAL GROUP, INC.
Authorized official	AUSTIN FRAZIER - (CFO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	06/22/2010
Last updated	12/29/2022 - About 3 years ago
Identifiers	n/a

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.