Organization
KATHY J ADAMS
Active
Other names
KATHCO MEDICAL SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KATHY J ADAMS ORTHODICS (PRESIDENT/OWNER)
(724) 589-0262
Entity
Organization
Contact information
Practice address
39 HADLEY RD, GREENVILLE, PA 16125-1239
(724) 589-0262
(724) 589-5975
Mailing address
PO BOX 286, GREENVILLE, PA 16125-0286
(724) 589-0262
(724) 589-5975
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
C18354
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2208873
—
OH
Enumeration date
09/12/2006
Last updated
06/04/2013
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