Provider Demographics
NPI:1053478529
Name:K & T MEDICAL SERVICES AND SUPPLES
Entity Type:Organization
Organization Name:K & T MEDICAL SERVICES AND SUPPLES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPERITOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TANIA
Authorized Official - Middle Name:EVETTE
Authorized Official - Last Name:CLEMENTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-357-2032
Mailing Address - Street 1:5655 SPRING MILL CIR
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30038-4087
Mailing Address - Country:US
Mailing Address - Phone:678-357-2032
Mailing Address - Fax:770-703-7873
Practice Address - Street 1:5655 SPRING MILL CIR
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30038-4087
Practice Address - Country:US
Practice Address - Phone:678-357-2032
Practice Address - Fax:770-703-7873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies