Organization
UNLIMITED LLC
Active
Other names
Undie Box
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA STACY COOK CERTIFIED FITTER (SINGLE MEMBER)
(859) 268-1267
Entity
Organization
Contact information
Practice address
3371 MOUNDVIEW CT, LEXINGTON, KY 40502-3515
(859) 268-1267
(859) 268-0039
Mailing address
PO BOX 21807, LEXINGTON, KY 40522-1807
(859) 268-1267
(859) 268-0039
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000478319
ANTHEM BLUE CROSS
KY
Enumeration date
04/11/2007
Last updated
08/22/2020
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