Organization Name: | PM KENNEMUR ENTERPRISES INC |
NPI Number: | 1275692063 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAUL E KENNEMUR (PHARMACY OWNER) |
Mailing Address: | 1009 S Gregg St Big Spring |
State: | TX US |
Postal Code: | 797202919 |
Phone Number: | 4322637316 |
Fax Number: | 4322647035 |
NPI Enumeration Date: | 12/07/2006 |
NPI Last Update Date: | 01/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 25332 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |