| NPI | 1306973912 |
|---|---|
| Former Legal Business Name | WALTER L GIBSON, MEMBER |
| Entity Type | Organization |
| Authorized Contact | WALLY GIBSON Owner/CEO/Managing Member 620-331-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: KS 16-00196) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2011-12-06 |