Provider Demographics
NPI:1801136114
Name:KINEXUS MEDICAL SUPPLIES, CO.
Entity type:Organization
Organization Name:KINEXUS MEDICAL SUPPLIES, CO.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:W
Authorized Official - Last Name:ESGUERRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-218-1693
Mailing Address - Street 1:7900 STEUBENVILLE PIKE
Mailing Address - Street 2:SUITE 22
Mailing Address - City:IMPERIAL
Mailing Address - State:PA
Mailing Address - Zip Code:15126-9139
Mailing Address - Country:US
Mailing Address - Phone:724-218-1693
Mailing Address - Fax:
Practice Address - Street 1:7900 STEUBENVILLE PIKE
Practice Address - Street 2:SUITE 22
Practice Address - City:IMPERIAL
Practice Address - State:PA
Practice Address - Zip Code:15126-9139
Practice Address - Country:US
Practice Address - Phone:724-218-1693
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-22
Last Update Date:2013-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA6000008299332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies