Organization
K-A MEDICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL ANN CRADDOCK (PRESIDENT/OWNER)
(304) 752-2115
Entity
Organization
Contact information
Practice address
RT 44, SOUTH WILKINSON, WILKINSON, WV 25653
(304) 752-2115
(304) 752-5934
Mailing address
PO BOX 202, STOLLINGS, WV 25646-0202
(304) 752-2115
(304) 752-5934
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
WV
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
WV
332BX2000X
Oxygen Equipment & Supplies (DME)
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001705507
BLUE CROSS BLUE SHEILD
WV
01
—
040567600
DEPARTMENT OF LABOR
WV
01
—
1461381
UMWA
WV
05
—
6099002000
—
WV
Enumeration date
10/03/2006
Last updated
07/21/2022
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