Provider Demographics
NPI:1356511547
Name:POWER CHAIRS OF KY
Entity Type:Organization
Organization Name:POWER CHAIRS OF KY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRES
Authorized Official - Prefix:MRS
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:
Authorized Official - Last Name:BLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-469-9989
Mailing Address - Street 1:325 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CAMPBELLSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42718-1357
Mailing Address - Country:US
Mailing Address - Phone:270-469-9989
Mailing Address - Fax:270-469-3887
Practice Address - Street 1:325 E MAIN ST
Practice Address - Street 2:
Practice Address - City:CAMPBELLSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42718-1357
Practice Address - Country:US
Practice Address - Phone:270-469-9989
Practice Address - Fax:270-469-3887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-04
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment