Provider Demographics
NPI:1740965201
Name:CONCINNITY MEDICAL DEVICES, INC
Entity type:Organization
Organization Name:CONCINNITY MEDICAL DEVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MCMICAN RYLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-609-7460
Mailing Address - Street 1:2 FLOWER CT
Mailing Address - Street 2:
Mailing Address - City:LAKESIDE PARK
Mailing Address - State:KY
Mailing Address - Zip Code:41017-2102
Mailing Address - Country:US
Mailing Address - Phone:859-609-7460
Mailing Address - Fax:
Practice Address - Street 1:2 FLOWER CT
Practice Address - Street 2:
Practice Address - City:LAKESIDE PARK
Practice Address - State:KY
Practice Address - Zip Code:41017-2102
Practice Address - Country:US
Practice Address - Phone:859-609-7460
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-21
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies