Organization
CORK MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESMOND SOUTH (HUMAN RESOURCE / COMPLIANCE DIR.)
(317) 361-4563
Entity
Organization
Contact information
Practice address
9804 PFLUMM RD, LENEXA, KS 66215-1208
(913) 495-9702
Mailing address
6406 CASTLEWAY CT STE 100, INDIANAPOLIS, IN 46250-1949
(317) 361-4563
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/20/2015
Last updated
08/20/2015
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