Provider Demographics
NPI:1174331755
Name:KEY WAY MEDICAL INC.
Entity type:Organization
Organization Name:KEY WAY MEDICAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:LIU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-480-0307
Mailing Address - Street 1:377 S LEMON AVE STE C
Mailing Address - Street 2:
Mailing Address - City:WALNUT
Mailing Address - State:CA
Mailing Address - Zip Code:91789-2738
Mailing Address - Country:US
Mailing Address - Phone:909-480-0307
Mailing Address - Fax:909-468-0035
Practice Address - Street 1:377 S LEMON AVE STE C
Practice Address - Street 2:
Practice Address - City:WALNUT
Practice Address - State:CA
Practice Address - Zip Code:91789-2738
Practice Address - Country:US
Practice Address - Phone:909-480-0307
Practice Address - Fax:909-468-0035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-27
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies