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Organization

UPLAND HILLS HOMETOWN MEDICAL EQUIP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL KILKELLY (MANAGER)
(608) 348-6250
Entity
Organization

Contact information

Practice address
490 E BUSINESS HIGHWAY 151, PLATTEVILLE, WI 53818-3768
(608) 348-6250
(608) 348-6631
Mailing address
PO BOX 637, PLATTEVILLE, WI 53818-0637
(608) 348-6250
(608) 348-6631

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41568700
WI
Enumeration date
08/22/2007
Last updated
06/19/2012
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