Provider Demographics
NPI:1922346584
Name:KINGS INFUSION, INC.
Entity Type:Organization
Organization Name:KINGS INFUSION, INC.
Other - Org Name:VITAL CARE OF YORK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LYNFORD
Authorized Official - Middle Name:DOYLE
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-846-0500
Mailing Address - Street 1:1698 S QUEEN ST
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-4633
Mailing Address - Country:US
Mailing Address - Phone:717-846-0500
Mailing Address - Fax:717-845-8767
Practice Address - Street 1:1698 S QUEEN ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-4633
Practice Address - Country:US
Practice Address - Phone:717-846-0500
Practice Address - Fax:717-845-8767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-16
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP412564L332B00000X, 332BP3500X, 3336C0004X, 3336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy