Organization
CORK MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN GEARHEART (PRESIDENT)
(317) 813-4210
Entity
Organization
Contact information
Practice address
1900 AIRPORT RD STE B, WAUKESHA, WI 53188-2478
(317) 361-4563
Mailing address
6406 CASTLEWAY CT STE 100, INDIANAPOLIS, IN 46250-1949
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/25/2015
Last updated
08/26/2019
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