Organization Name: | KATHRYN KNIGHT-DOPSON |
NPI Number: | 1518048388 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KATHRYN B DOPSON (OWNER) |
Mailing Address: | 118b Highway 43 S Saraland |
State: | AL US |
Postal Code: | 36571 |
Phone Number: | 2516755189 |
Fax Number: | 2516755189 |
NPI Enumeration Date: | 10/18/2006 |
NPI Last Update Date: | 05/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | 435 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |