| NPI | 1730341041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY LEE KENNEDY Sole Member 502-245-7491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 299) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2008-07-07 |