Organization · Type 2 NPI
Kellys Elite Boutique, LLC
Durable Medical Equipment & Medical Supplies · Warren, OH
NPI number
1710282744
Active
Practice location
1869 Niles Cortland Rd., NE
Warren, OH 44484
Fax (866) 423-1145
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | None listed |
Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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About NPI 1710282744
Kellys Elite Boutique, LLC's National Provider Identifier is 1710282744, issued on Jan 23, 2011. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Warren, OH. The record was last updated on Sep 17, 2012.