Organization
CENTRAL KENTUCKY MOBILITY OF LOUISVILLE, LLC
Active
Parent organization
CENTRAL KENTUCKY MOBILITY, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL KENTUCKY MOBILITY, LLC
Authorized official
DAVID PRESTON (GENERAL MANAGER/OWNER)
(859) 225-3624
Entity
Organization
Contact information
Practice address
11700 COMMONWEALTH DR STE 900, LOUISVILLE, KY 40299-6357
(859) 266-9061
(859) 266-6251
Mailing address
1050 ENTERPRISE DR STE 125, LEXINGTON, KY 40510-1014
(859) 225-3624
(859) 225-3682
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
7100125720
KY
332BC3200X
Customized Equipment (DME)
Primary
282426
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45001658
—
KY
05
—
90005653
—
KY
Enumeration date
02/14/2008
Last updated
12/06/2010
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