DT KENAI INVESTMENT LLC
Medical Equipment Supplier Yellow Pages
Kanab, Utah
Provider NPI: 1952413866
Organization Information:Organization Name: DT KENAI INVESTMENT LLC
Practice Location:
176 W CENTER ST KANAB, UT 84741 US
Tel: 435-644-2418 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
176 W CENTER ST KANAB, UT 84741 US
Tel: 435-644-2418 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336L0003X | Suppliers Pharmacy Long Term Care Pharmacy | ||
N | 333600000X | Suppliers Pharmacy | ||
Y | 3336C0003X | Suppliers Pharmacy | UT | 94284931703 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2131833 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin