# DEK HEALTH ALLIANCE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** appalachian medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669421624
- **Authorized official:** DEBRA S KIDD R.R.T (OWNER/PRESIDENT)
- **Authorized official phone:** (606) 256-4013

## Contact information

- **Practice address:** 127 KINGSWOOD DR, CAMPBELLSVILLE, KY 42718-9634
- **Practice address phone:** (270) 469-1335
- **Practice address fax:** (270) 469-1336
- **Mailing address:** PO BOX 929, 45 NEWCOMB AVENUE, MOUNT VERNON, KY 40456-0929
- **Mailing address phone:** (606) 256-4013
- **Mailing address fax:** (606) 256-1242

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | MG0543 | KY | Yes |

## Other

- **Enumeration date:** 05/08/2006
- **Last updated:** 08/22/2020
