Provider Demographics
NPI:1881203586
Name:KIND MEDICAL SUPPLY COMPANY LLC
Entity Type:Organization
Organization Name:KIND MEDICAL SUPPLY COMPANY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:MCCLUSKEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:614-286-4326
Mailing Address - Street 1:9257 W SPRAGUE RD STE B
Mailing Address - Street 2:
Mailing Address - City:NORTH ROYALTON
Mailing Address - State:OH
Mailing Address - Zip Code:44133-1208
Mailing Address - Country:US
Mailing Address - Phone:614-286-4326
Mailing Address - Fax:440-884-6864
Practice Address - Street 1:9257 W SPRAGUE RD STE B
Practice Address - Street 2:
Practice Address - City:NORTH ROYALTON
Practice Address - State:OH
Practice Address - Zip Code:44133-1208
Practice Address - Country:US
Practice Address - Phone:614-286-4326
Practice Address - Fax:440-884-6864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-28
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies