Mediserve Medical Equipment of Kingsport, Inc.

NPI #1235443185 in Abingdon, Virginia

Provider Information

NPI Number: 1235443185
Entity Type: Organization
Organization Name: Mediserve Medical Equipment of Kingsport, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: BLUE RIDGE MANAGEMENT CORP
Primary Specialty: Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies
Enumeration Date: Aug 3, 2010
Last Updated: May 11, 2012

Practice Location

Address: 492 E MAIN ST
City: Abingdon
State: Virginia
ZIP Code: 24210-3408
Phone: (276) 628-2200

Authorized Official

Name: MR. CARL STEVE KILGORE
Title: PRESIDENT
Phone: (423) 915-5184

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies — Oxygen Equipment & Supplies	332BX2000X	Primary

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