Organization
CENTRAL KENTUCKY MOBILITY OF BOWLING GREEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID PRESTON (GENERAL MANAGER/OWNER)
(859) 225-3624
Entity
Organization
Contact information
Practice address
1017 SHIVE LN, SUITE E, BOWLING GREEN, KY 42103-8039
(270) 904-4934
(270) 904-2658
Mailing address
1050 ENTERPRISE DR, SUITE 125, LEXINGTON, KY 40510-1016
(859) 225-3624
(859) 225-3682
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
KY
332BC3200X
Customized Equipment (DME)
Primary
—
KY
Other
Enumeration date
01/31/2011
Last updated
02/01/2011
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