Organization
YATES HOME REPAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH MICHAEL YATES (CONTRACTOR)
(804) 721-4176
Entity
Organization
Contact information
Practice address
16203 COURTHOUSE RD, DINWIDDIE, VA 23841-3431
(804) 721-4176
(804) 862-3700
Mailing address
16203 COURTHOUSE RD, DINWIDDIE, VA 23841-3431
(804) 721-4176
(804) 862-3700
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2705062531C
VA
Other
Enumeration date
05/03/2011
Last updated
05/03/2011
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