Provider Demographics
NPI:1376124693
Name:KR MEDICAL SOLUTIONS
Entity Type:Organization
Organization Name:KR MEDICAL SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIAH
Authorized Official - Middle Name:M
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-307-2628
Mailing Address - Street 1:2320 26TH AVE S
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33712-3534
Mailing Address - Country:US
Mailing Address - Phone:727-307-2628
Mailing Address - Fax:727-270-9735
Practice Address - Street 1:118 N METEOR AVE STE D
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765-3045
Practice Address - Country:US
Practice Address - Phone:727-307-2628
Practice Address - Fax:727-270-9735
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PANDENIMM LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-04-19
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment