Provider Demographics
NPI:1689980773
Name:KEWLER
Entity Type:Organization
Organization Name:KEWLER
Other - Org Name:THE KEWLER COMPANY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CLUKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-386-1118
Mailing Address - Street 1:404 GREENWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-5755
Mailing Address - Country:US
Mailing Address - Phone:919-386-1118
Mailing Address - Fax:
Practice Address - Street 1:404 GREENWOOD CIR
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-5755
Practice Address - Country:US
Practice Address - Phone:919-386-1118
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-26
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies