Organization
MEDISERVE MEDICAL EQUIPMENT OF KINGSPORT, INC.
Active
Other names
Ballad Health Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY J CRAWFORD (PRESIDENT)
(859) 300-6455
Entity
Organization
Contact information
Practice address
1183 SPRATLIN PARK DR, GRAY, TN 37615-6205
(423) 477-9806
(423) 477-3571
Mailing address
1019 TOWN DR, HIGHLAND HEIGHTS, KY 41076-9114
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3547849
—
TN
Enumeration date
10/26/2006
Last updated
07/17/2025
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