Provider Demographics
NPI:1790071439
Name:ALL AMERICAN SERVICE
Entity Type:Organization
Organization Name:ALL AMERICAN SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER - OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:M
Authorized Official - Last Name:KUHLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-689-0126
Mailing Address - Street 1:208 S BLECKLEY DR
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67218-1522
Mailing Address - Country:US
Mailing Address - Phone:316-689-0126
Mailing Address - Fax:316-684-2893
Practice Address - Street 1:208 S BLECKLEY DR
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67218-1522
Practice Address - Country:US
Practice Address - Phone:316-689-0126
Practice Address - Fax:316-684-2893
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-21
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment