| NPI | 1588135917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MACKIN CEO 502-561-4263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment | |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2018-12-13 |