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General NPI Number Information
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NPI Number | 1619061686
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Entity Type | Organization
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Legal Business Name | K-A MEDICAL SERVICES INC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | RT 44 SOUTH WILKINSON
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City | WILKINSON
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State | WV
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Zip | 25653
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Country | US
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Telephone | 304-752-2115
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Fax | 304-752-5934
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Provider Business Mailing Address
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Address Line | PO BOX 202
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City | STOLLINGS
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State | WV
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Zip | 25646-0202
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Country | US
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Telephone | 304-752-2115
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Fax | 304-752-5934
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MS. CAROL ANN CRADDOCK
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Credential |
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Telephone | 304-752-2115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | WV
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