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NPI Code Detail

MEDICARE: MEDISERVE MEDICAL EQUIPMENT OF KINGSPORT, INC.

MEDICARE: MEDISERVE MEDICAL EQUIPMENT OF KINGSPORT, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962587832
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDISERVE MEDICAL EQUIPMENT OF KINGSPORT, INC.
Provider Business Mailing Address
First Line : 1019 TOWN DR
Second Line :
City : HIGHLAND HEIGHTS
State : KY
Zip : 41076-9114
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1183 SPRATLIN PARK DR
Second Line :
City : GRAY
State : TN
Zip : 37615-6205
Country : US
Telephone Number : 423-477-9806
Fax Number : 423-477-3571
Authorized Official
Title or Position : PRESIDENT
Name : GREGORY J CRAWFORD
Credential :
Telephone Number : 859-300-6455
Provider Enumeration Date : 10/26/2006
Last Update Date : 07/17/2025

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Directions to “MEDISERVE MEDICAL EQUIPMENT OF KINGSPORT, INC. ” Practice Location

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