| Organization Name: | RUSSELL KORNEGOR MEDICAL EQUIPMENT LTD |
| NPI Number: | 1114140761 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RUSSELL DEAN KORNEGOR (OWNER) |
| Mailing Address: | 703 N 2nd St Coldwater |
| State: | OH US |
| Postal Code: | 458289780 |
| Phone Number: | 4196782168 |
| Fax Number: | 4196788893 |
| NPI Enumeration Date: | 04/11/2007 |
| NPI Last Update Date: | 11/16/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |