| NPI | 1376728402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN A MCKIM President 502-489-9449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 104656455) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-01-08 |