| NPI | 1679926620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH BETHEL Owner 316-409-3022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2016-07-14 |