Organization
PIKEVILLE MEDICAL EQUIPMENT & SUPPLIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELIA GOODMAN WATSON (CEO)
(606) 432-6011
Entity
Organization
Contact information
Practice address
789A N MAYO TR, PIKEVILLE, KY 41501-1686
(606) 432-6011
(606) 432-6085
Mailing address
PO BOX 3816, PIKEVILLE, KY 41502-3816
(606) 432-6011
(606) 432-6085
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
NOT REQUIRED IN KY
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000320773
ANTHEM
KY
05
—
90007188
—
KY
Enumeration date
05/09/2006
Last updated
07/28/2016
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