Central Kentucky Mobility of Bowling Green, LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

CENTRAL KENTUCKY MOBILITY OF BOWLING GREEN, LLC

Practice address

1017 Shive LN
Suite E
Bowling Green, KY 42103-8039

Phone

(270) 904-4934

Fax

(270) 904-2658

NPI assigned

Jan 31, 2011

Last updated

Feb 1, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David Preston

Title

General Manager/Owner

Phone

(859) 225-3624

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1285930834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 ENTERPRISE DR",
            "address_2": "SUITE 125",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405101016",
            "telephone_number": "859-225-3624",
            "fax_number": "859-225-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 SHIVE LN",
            "address_2": "SUITE E",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421038039",
            "telephone_number": "270-904-4934",
            "fax_number": "270-904-2658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL KENTUCKY MOBILITY OF BOWLING GREEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-31",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "PRESTON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "GENERAL MANAGER/OWNER",
        "authorized_official_telephone_number": "859-225-3624",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Customized Equipment (DME) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.