Organization
KEOKUK AREA MEDICAL EQUIPMENT & SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORA ANN TAYLOR (AUTHORIZED AGENT)
(319) 526-8760
Entity
Organization
Contact information
Practice address
420 N 17TH ST, KEOKUK, IA 52632-3452
(319) 524-6356
(319) 524-6355
Mailing address
420 N 17TH ST, KEOKUK, IA 52632-3452
(319) 524-6356
(319) 524-6355
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0104547
—
IA
05
—
622096006
—
MO
Enumeration date
02/14/2006
Last updated
11/24/2020
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