Provider Demographics
NPI:1942813936
Name:KNA MEDICAL SUPPLIES
Entity Type:Organization
Organization Name:KNA MEDICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NAHLA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAJRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-368-7888
Mailing Address - Street 1:8360 W OAKLAND PARK BLVD STE 304
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-7339
Mailing Address - Country:US
Mailing Address - Phone:561-368-7888
Mailing Address - Fax:
Practice Address - Street 1:8360 W OAKLAND PARK BLVD STE 304
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-7339
Practice Address - Country:US
Practice Address - Phone:561-368-7888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-28
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies