Organization
IDC INC
Active
Other names
Medical gasses
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDELL L SHEPHERD (OWNER)
(502) 561-1854
Entity
Organization
Contact information
Practice address
958 OLD FINCHVILLE RD, SHELBYVILLE, KY 40065-9100
(502) 561-1854
Mailing address
958 OLD FINCHVILLE RD, SHELBYVILLE, KY 40065-9100
(502) 561-1854
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
KY
Other
Enumeration date
06/30/2008
Last updated
07/02/2008
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