Organization
CENTRAL KENTUCKY MOBILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID PRESTON ATP (PRESIDENT)
(895) 255-3624
Entity
Organization
Contact information
Practice address
1050 ENTERPRISE DR, STE 125, LEXINGTON, KY 40510-1016
(859) 255-3624
Mailing address
1050 ENTERPRISE DR, STE 125, LEXINGTON, KY 40510-1014
(859) 255-3624
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
247648
KY
332BC3200X
Customized Equipment (DME)
Primary
247648
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000295533
ANTHEM FACETS
KY
05
—
45001658
—
KY
05
—
90005653
—
KY
Enumeration date
08/28/2006
Last updated
09/28/2009
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