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Ksb Medical Group, Inc.
Eyewear Supplier in Dixon, Illinois
NPI 1306814603

Ksb Medical Group, Inc. is a Eyewear Supplier based in Kansas City, IL. Ksb Medical Group, Inc. practices in Dixon, IL. The NPI Number for Ksb Medical Group, Inc. is 1306814603 and holds a License No. (Illinois).

The current practice location address for Ksb Medical Group, Inc. is 511 Palmyra St, Dixon, IL and can be reached out via phone at 815-284-2020.

Location: 511 Palmyra St, Dixon, IL, 64184-1330
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306814603
Provider Name
Ksb Medical Group, Inc.
Credential
Provider Entity Type
Organization
Address
511 Palmyra St, Dixon, IL, 64184-1330
Phone Number
815-284-2020
Fax Number
Provider Enumeration Date
03/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0169800003 01 MEDICARE DMEPOS NUMBER
institution
Provider Business Practice Location Address Details
Address
511 Palmyra St
City
Dixon
State
Illinois
Zip
61021-1953
Phone Number
815-284-2020
Fax Number
person
Provider Business Mailing Address Details
Address
511 Palmyra St
City
Dixon
State
Illinois
Zip
61021-1953
Phone Number
815-284-2020
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
()
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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