Provider Demographics
NPI:1891379905
Name:KINDO MEDICAL EQUIPMENT, LLC
Entity Type:Organization
Organization Name:KINDO MEDICAL EQUIPMENT, LLC
Other - Org Name:KINDO MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KINTINA
Authorized Official - Middle Name:HOLLIS
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-709-9353
Mailing Address - Street 1:2320 7 LKS S
Mailing Address - Street 2:
Mailing Address - City:WEST END
Mailing Address - State:NC
Mailing Address - Zip Code:27376-9601
Mailing Address - Country:US
Mailing Address - Phone:704-709-9353
Mailing Address - Fax:
Practice Address - Street 1:124 N TRADE ST STE E
Practice Address - Street 2:
Practice Address - City:WEST END
Practice Address - State:NC
Practice Address - Zip Code:27376-9360
Practice Address - Country:US
Practice Address - Phone:704-709-9353
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-06
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No332S00000XSuppliersHearing Aid Equipment