Kern Valley Medical Supply
NPI #1023007762 in Lake Isabella, California
Provider Information
- NPI Number
- 1023007762
- Entity Type
- Organization
- Organization Name
- Kern Valley Medical Supply
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Oct 16, 2005
- Last Updated
- Aug 12, 2008
Practice Location
- Address
- 5213 LAKE ISABELLA BLVD
- City
- Lake Isabella
- State
- California
- ZIP Code
- 93240-9642
- Phone
- (760) 379-8111
Authorized Official
- Name
- MRS. WENDY JUNE RUSSELL
- Title
- OWNER
- Phone
- (760) 379-8111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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