| NPI | 1518068246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED D. TAYLOR President 620-442-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: KS 2-06683) |
| 335E00000X Prosthetic/Orthotic Supplier | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2018-11-05 |