| NPI | 1528167129 |
|---|---|
| Doing Business As | KIM'S MEDICAL SUPPLIES |
| Entity Type | Organization |
| Authorized Contact | KIM CLARA RICKS Owner 951-247-4776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 332b00000x) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2011-05-05 |