Provider Demographics
NPI:1225318009
Name:LINDA MORGANFIELD
Entity Type:Organization
Organization Name:LINDA MORGANFIELD
Other - Org Name:KITTRELL'S MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:FAYE
Authorized Official - Last Name:MORGANFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-419-0151
Mailing Address - Street 1:323 E REGENT ST
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90301-1228
Mailing Address - Country:US
Mailing Address - Phone:310-419-0151
Mailing Address - Fax:310-894-9710
Practice Address - Street 1:323 E REGENT ST
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301-1228
Practice Address - Country:US
Practice Address - Phone:310-419-0151
Practice Address - Fax:310-894-9710
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-08-24
Last Update Date:2011-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103645332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies