Modern Therapy & Gas LLC

Organization Active NPI Oxygen Equipment & Supplies (DME) · Lancaster, KY

NPI 1336166198 · NPPES record last updated Feb 3, 2010

Key facts

NPI
1336166198
Entity type
Organization (NPI type 2)
Primary specialty
Oxygen Equipment & Supplies (DME) 332BX2000X
License
MG0230 (KY)
Legal business name
MODERN THERAPY & GAS LLC
Practice address
401 Danville St
Lancaster, KY 40444
Phone
(859) 792-1757
Fax
(859) 792-1707
NPI assigned
Jul 17, 2006
Organization subpart
No

Authorized official

Name
Mr. James Kenneth Johnson
Title
Owner
Phone
(859) 326-0063

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X MG0230 KY Yes

Addresses

Primary practice location

401 Danville St
Lancaster, KY 40444

Mailing address

401 Danville St
Lancaster, KY 40444
Phone (859) 792-1757

Other identifiers

IdentifierTypeStateIssuer
90009895MedicaidKY

Other names

  • Modern Therapy & Gas, LLC Former legal business name

Other providers in Lancaster, KY

All providers in Lancaster, KY · Oxygen Equipment & Supplies (DME) in Kentucky

Sources for this page

Verify at the official NPI Registry.