Organization
PROVIDER MANAGEMENT & DEVELOPMENT CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER DURANT (ASST. VP OF FINANCE)
(859) 623-0898
Entity
Organization
Contact information
Practice address
300 PROVIDER CT, SUITE 100, RICHMOND, KY 40475-8488
(859) 623-0898
(859) 623-0843
Mailing address
300 PROVIDER CT, SUITE 100, RICHMOND, KY 40475-8488
(859) 623-0898
(859) 623-0843
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90160763
—
KY
Enumeration date
02/15/2007
Last updated
08/22/2020
Update your record
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