Provider Demographics
NPI:1235382607
Name:K & S MGT INC
Entity Type:Organization
Organization Name:K & S MGT INC
Other - Org Name:HEWITTS SCOOTER PLACE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER /PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:C
Authorized Official - Last Name:HO
Authorized Official - Suffix:
Authorized Official - Credentials:10/1/2008
Authorized Official - Phone:520-514-9494
Mailing Address - Street 1:2201 E BROADWAY BLVD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85719-6013
Mailing Address - Country:US
Mailing Address - Phone:520-514-9494
Mailing Address - Fax:520-514-9143
Practice Address - Street 1:2201 E BROADWAY BLVD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-6013
Practice Address - Country:US
Practice Address - Phone:520-514-9494
Practice Address - Fax:520-514-9143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-29
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ20376252332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ6416130001Medicare NSC