Organization
KENTUCKIANA MOBILITY SCOOTER RENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHANIEL RUDOLPH (OWNER)
(502) 539-9872
Entity
Organization
Contact information
Practice address
4448 MANSLICK RD, LOUISVILLE, KY 40216
(502) 539-9872
Mailing address
4448 MANSLICK RD, LOUISVILLE, KY 40216
(502) 539-9872
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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