| NPI | 1275271694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL KARL KRESTIK Physician 606-862-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2022-09-07 |