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Kenneth R Wilson SR.
Durable Medical Equipment & Medical Supplies in Jacksonville, Florida
NPI 1619567872

Kenneth R Wilson SR. is a Durable Medical Equipment & Medical Supplies based in Jacksonville, FL. Kenneth R Wilson SR. practices in Jacksonville, FL. The NPI Number for Kenneth R Wilson SR. is 1619567872 and holds a License No. (Florida).

The current practice location address for Kenneth R Wilson SR. is 2081 Chaffee Rd S Lot 119, Jacksonville, FL and can be reached out via phone at 904-834-9093.

Location: 2081 Chaffee Rd S Lot 119, Jacksonville, FL, 32221-1887
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619567872
Provider Name
Kenneth R Wilson SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
2081 Chaffee Rd S Lot 119, Jacksonville, FL, 32221-1887
Phone Number
904-834-9093
Fax Number
Provider Enumeration Date
01/21/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2081 Chaffee Rd S Lot 119
City
Jacksonville
State
Florida
Zip
32221-1887
Phone Number
904-834-9093
Fax Number
person
Provider Business Mailing Address Details
Address
2081 Chaffee Rd S Lot 119
City
Jacksonville
State
Florida
Zip
32221-1887
Phone Number
904-834-9093
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
(Florida)
Definition
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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