Kimberly Ruth Medical Supplies & Equip.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1247 Issued in TN

Legal business name

KIMBERLY RUTH MEDICAL SUPPLIES & EQUIP.

Practice address

516 Devonia St
Harriman, TN 37748-2115

Phone

(865) 590-7993

NPI assigned

Jun 20, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Christopher Caleb Mullins

Title

Owner

Phone

(865) 590-7993

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1043660137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 DEVONIA ST",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377482115",
            "telephone_number": "865-590-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 DEVONIA ST",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377482115",
            "telephone_number": "865-590-7993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY RUTH MEDICAL SUPPLIES & EQUIP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "CALEB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-590-7993",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "1247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Harriman, TN
• Providers in Harriman, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.