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Mr. Russell D Kornegor
Durable Medical Equipment & Medical Supplies in Coldwater, Ohio
NPI 1629250097

Russell D Kornegor is a Durable Medical Equipment & Medical Supplies based in Coldwater, OH. Russell D Kornegor practices in Coldwater, OH. The NPI Number for Russell D Kornegor is 1629250097 and holds a License No. HMEL.11296 (Ohio).

The current practice location address for Russell D Kornegor is 703 N 2Nd St, Coldwater, OH and can be reached out via phone at 419-678-2168 and via fax at 419-678-8893.

Location: 703 N 2Nd St, Coldwater, OH, 45828-9780
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629250097
Provider Name
Russell D Kornegor
Credential
Provider Entity Type
Individual
Gender
Male
Address
703 N 2Nd St, Coldwater, OH, 45828-9780
Phone Number
419-678-2168
Fax Number
419-678-8893
Provider Enumeration Date
11/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000283155 01 OH ANTHEM
2324701 05 OH
institution
Provider Business Practice Location Address Details
Address
703 N 2Nd St
City
Coldwater
State
Ohio
Zip
45828-9780
Phone Number
419-678-2168
Fax Number
419-678-8893
person
Provider Business Mailing Address Details
Address
703 N 2Nd St
City
Coldwater
State
Ohio
Zip
45828-9780
Phone Number
419-678-2168
Fax Number
419-678-8893
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
HMEL.11296 (Ohio)
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's use in the home and that are usable for an extended period of time.
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