OrganizationActive
Kanawha Medical Supply, Inc.
NPI 1629133533 · Customized Equipment (DME) · Richmond, VA
Provider details
- NPI number
- 1629133533
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Dyane Pergerson, Vice President(804) 330-5743
- License
- 0206008452 (VA)
Specialties & taxonomies
Suppliers
Practice location
7009 Forest Hill Ave
Richmond, VA 23225-1607
Phone: (804) 330-5743
Fax: (804) 330-7149
Approximate (ZIP-level) locationGet directions
Mailing address
7009 Forest Hill Ave
Richmond, VA 23225-1607
Registry dates
- Enumerated
- 2006-12-22
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.