Kimberly Ruth Medical Supplies & Equip.
Durable Medical Equipment & Medical Supplies in Harriman, TN. Organization (NPI-2).
NPI number1043660137
StatusActive
Last updated in NPPESJun 20, 2016
Details
- NPI
- 1043660137
- Entity type
- Organization (NPI-2)
- Legal business name
- Kimberly Ruth Medical Supplies & Equip.
- Organization subpart
- No
- Enumeration date
- Jun 20, 2016
- Last updated
- Jun 20, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1247 | TN | Yes |
Practice location
516 Devonia StHarriman, TN 37748-2115
Phone 865-590-7993
Mailing address
516 Devonia StHarriman, TN 37748-2115
Phone 865-590-7993
Authorized official
Christopher Caleb Mullins
Owner
8655907993
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