Organization Name: | K VA T FOOD STORES INC. |
NPI Number: | 1578958146 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEVEN C SMITH (CHAIRMAN PRESIDENT CEO) |
Mailing Address: | 1317 Virginia Ave Hwy 421 Bristol |
State: | TN US |
Postal Code: | 376205158 |
Phone Number: | 2766235100 |
Fax Number: | 2766235440 |
NPI Enumeration Date: | 04/01/2015 |
NPI Last Update Date: | 06/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 01/25/2016 |
NPI Reactivation Date: | 02/11/2016 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
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 |