Organization
CLARKSON DIABETIC SHOES & MORE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KATHY POWELL (OWNER)
(270) 200-2100
Entity
Organization
Contact information
Practice address
722 W MAIN ST, CLARKSON, KY 42726-7048
(270) 200-2100
(270) 200-2101
Mailing address
722 W MAIN ST, CLARKSON, KY 42726-7048
(270) 200-2100
(270) 200-2101
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/15/2009
Last updated
07/15/2009
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