Whalio Doctors

NPI 1093879009

New Moon Medical, INC

Organisation Durable Medical Equipment & Medical Supplies Winchester, KY

Practice location

Address
1210 W Lexington Ave Suite B, Winchester, KY 40391-1127
Phone
(859) 737-5154
Fax
(877) 737-1881
Mailing address
PO Box 331, Winchester, KY 40392-0331

Authorised official

Name
Ben Worthington
Title
President
Phone
(859) 737-5154

Registered specialties (2)

Durable Medical Equipment & Medical Supplies Primary
Suppliers Taxonomy 332B00000X Licence 184257 (KY)
Parenteral & Enteral Nutrition Supplies (DME)
Suppliers Taxonomy 332BP3500X

Registry record

NPI
1093879009
Entity type
Organization
NPI issued
21 Dec 2006
Record last updated
13 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.