Organization
PEDIATRIC PRODUCTS, LLC
Active
Other names
Xpress Nebs
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY PAULSON (CEO)
(513) 891-4633
Entity
Organization
Contact information
Practice address
1016 MOUNT VERNON DRIVE, SUITE 1, SHELBYVILLE, KY 40065-7828
(502) 633-2006
(513) 891-4654
Mailing address
2975 EXON AVE, CINCINNATI, OH 45241-2520
(513) 891-4633
(513) 891-4654
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100789130
—
KY
Enumeration date
05/22/2009
Last updated
01/21/2022
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