CENTRAL KENTUCKY MOBILITY OF LOUISVILLE LLC NPI 1730357419

NPI Information

NPI: 1730357419
Provider Name: CENTRAL KENTUCKY MOBILITY OF LOUISVILLE, LLC
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
11700 COMMONWEALTH DR STE 900
LOUISVILLE, KY
ZIP 40299
Phone: (859) 266-9061
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CENTRAL KENTUCKY MOBILITY OF LOUISVILLE, LLC is a customized equipment durable medical equipment medical supplies in Louisville, KY. CENTRAL KENTUCKY MOBILITY OF LOUISVILLE, LLC NPI is 1730357419. The provider is registered as an organization entity type.

The provider's business location address is:

11700 COMMONWEALTH DR STE 900
LOUISVILLE, KY
ZIP 40299-357
Phone: (859) 266-9061
Fax: (859) 266-6251

The provider's authorized official is David Preston .
The authorized official title is General Manager/owner and has the following contact phone number (859) 225-3624.

The enumeration date for this NPI number is 2/14/2008 and was last updated on 12/6/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		7100125720	KENTUCKY	No
2	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	282426	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	90005653	MEDICAID	KENTUCKY
2	45001658	MEDICAID	KENTUCKY
3	6230620001	MEDICARE NSC	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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