Healthcare Provider Details

I. General information

NPI: 1679803167
Provider Name (Legal Business Name): D & K MANAGEMENT SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2010
Last Update Date: 03/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 S WILMINGTON ST
RALEIGH NC
27601-2364
US

IV. Provider business mailing address

900 S WILMINGTON ST
RALEIGH NC
27601-2364
US

V. Phone/Fax

Practice location:
  • Phone: 919-424-5120
  • Fax: 919-741-4351
Mailing address:
  • Phone: 919-424-5120
  • Fax: 919-741-4351

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number StateNC

VIII. Authorized Official

Name: EVELYN DAWSON
Title or Position: OWNER
Credential:
Phone: 919-424-5120