Carolyns Boutique Inc
Organization Active NPI Durable Medical Equipment & Medical Supplies · Campbellsville, KY
NPI 1336216233 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1336216233
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- CAROLYNS BOUTIQUE INC
- Practice address
- 903 South Columbia
Campbellsville, KY 42718 - Phone
- (270) 789-0086
- Fax
- (270) 789-0086
- NPI assigned
- Nov 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. June Carolyn Rodgers
- Title
- Owner President
- Phone
- (270) 789-0086
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
903 South Columbia
Campbellsville, KY 42718
Mailing address
903 South Columbia
Campbellsville, KY 42718
Phone (270) 789-0086
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90181090 | Medicaid | KY |
Other names
- Elegant Mother
Other providers in Campbellsville, KY
- Campbellsville Operating Company LLC
- Campbellsville Physician Services LLC
- Caremed Rural LLC
- Jodi Lynn Carney
- Michael Carney
- Sonya Carroll
- Amanda Carter
- Cassandra Stephens, MD, PSC
- Amanda Lynn Cecil
- Central Drug Center
All providers in Campbellsville, KY · Durable Medical Equipment & Medical Supplies in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.