MEDICARE: ALL AMERICAN SERVICE

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
1	332BC3200X	Customized Equipment (DME)		KS

General Provider Information

NPI Number	:	1790071439
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL AMERICAN SERVICE

Provider Business Mailing Address
First Line	:	208 S BLECKLEY DR
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67218-1522
Country	:	US
Telephone Number	:	316-689-0126
Fax Number	:	316-684-2893

Provider Business Practice Location Address
First Line	:	208 S BLECKLEY DR
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67218-1522
Country	:	US
Telephone Number	:	316-689-0126
Fax Number	:	316-684-2893

Authorized Official
Title or Position	:	MEMBER - OFFICE MANAGER
Name	:	MRS. ROSE M KUHLMAN
Credential	:
Telephone Number	:	316-689-0126

Provider Enumeration Date	:	06/21/2011
Last Update Date	:	06/21/2011

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Directions to “ALL AMERICAN SERVICE ” Practice Location

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