Southgate Medical of Ky, INC

NPI #1134269384 in Covington, Kentucky

Provider Information

NPI Number
1134269384
Entity Type
Organization
Organization Name
Southgate Medical of Ky, INC
Primary Specialty
Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition
Enumeration Date
Feb 7, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
425 GARRARD ST
ZIP Code
41011-2562
Phone
(859) 292-8880

Authorized Official

Name
MR. RALPH L STACEY II
Title
OWNER ADMINISTRATOR
Phone
(859) 292-8880

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies - Parenteral & Enteral NutritionParenteral & Enteral Nutrition

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