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K & K MEDICAL SUPPLY INC
NPI 1710049747
Durable Medical Equipment & Medical Supplies in Fontana, CA

Active since December 15, 2006
17410 FOOTHILL BLVD, SUITE C, FONTANA, CA 92335(909) 356-4888(909) 356-4920 Get Directions Write a Review

NPPES record last updated: November 6, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About K & K Medical Supply Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

K & K MEDICAL SUPPLY INC (NPI 1710049747) is a healthcare organization registered as a durable medical equipment & medical supplies in Fontana, California and active in the NPI registry since December 2006. The organization lists Kim J Shittu, President, as its authorized official.

NPPES Registry Identity

NPI1710049747
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameK & K MEDICAL SUPPLY INC
Location Address17410 FOOTHILL BLVD, SUITE CFontana, CA 92335-3651
Mailing Address17410 Foothill Blvd, Suite CFontana, CA 92335-3651 · (909) 356-4888 · Fax (909) 356-4920
Phone(909) 356-4888
Fax(909) 356-4920
Organization SubpartNo
Authorized OfficialKim J ShittuPresident · (909) 356-4888
Enumeration DateDecember 15, 2006
Last NPPES UpdateNovember 6, 2007
✔ NPI 1710049747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in CA · 5954070001
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.
17410 FOOTHILL BLVD, Fontana, CA 92335
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Other Identifiers 1

Medicare NSC5954070001CA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is K & K Medical Supply Inc's NPI number?

The NPI number for K & K Medical Supply Inc is 1710049747. It was assigned to this organization in the NPPES registry on December 15, 2006.

Where is K & K Medical Supply Inc located?

K & K Medical Supply Inc is located at 17410 Foothill Blvd Suite C, Fontana, CA 92335. The listed phone number is (909) 356-4888.

What is K & K Medical Supply Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for K & K Medical Supply Inc was last updated on November 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.