Healthcare Provider Details

I. General information

NPI: 1639475932
Provider Name (Legal Business Name): D&K LIMITED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2011
Last Update Date: 02/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10018 NORTH STATE ROAD 1
OSSIAN IN
46777-9754
US

IV. Provider business mailing address

10018 NORTH STATE ROAD 1
OSSIAN IN
46777-9754
US

V. Phone/Fax

Practice location:
  • Phone: 260-622-7300
  • Fax: 260-622-6265
Mailing address:
  • Phone: 260-622-7300
  • Fax: 260-622-6265

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DEBRA J SMITH
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 260-622-6262