MEDISERVE MEDICAL EQUIPMENT OF KINGSPORT INC NPI 1992880876

NPI Information

MEDISERVE MEDICAL EQUIPMENT OF KINGSPORT, INC is a durable medical equipment medical supplies in Kingsport, TN. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. MEDISERVE MEDICAL EQUIPMENT OF KINGSPORT, INC NPI is 1992880876. The provider is registered as an organization entity type.

The provider's business location address is:

444 CLINCHFIELD ST STE 2201
KINGSPORT, TN
ZIP 37660-858
Phone: (423) 245-6102
Fax: (423) 245-6612

The provider's authorized official is Mary Lynn Krutak .
The authorized official title is Evp/cfo and has the following contact phone number (423) 302-3423.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 1/26/2019.

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:

Other Identifiers

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

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