Healthcare Provider Details

I. General information

NPI: 1891793154
Provider Name (Legal Business Name): PBI INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2035 REGENCY RD STE 3
LEXINGTON KY
40503-2333
US

IV. Provider business mailing address

2035 REGENCY RD STE 3
LEXINGTON KY
40503-2333
US

V. Phone/Fax

Practice location:
  • Phone: 859-277-8576
  • Fax: 859-277-9470
Mailing address:
  • Phone: 859-277-8576
  • Fax: 859-277-9470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT E POAGE
Title or Position: PRESIDENT
Credential:
Phone: 859-277-0726