Individual provider · Type 1 NPI
Phil James Nyderek Sr.
Home Modifications Contractor · Greenup, KY
NPI number
1194984443
Active
Practice location
103 Ashmoore Drive
Greenup, KY 41144
Fax (606) 473-1389
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Modifications Contractor Primary | 171WH0202X | None listed |
Home Modifications Contractor: A contractor who makes modifications to homes to accommodate a health condition.
About NPI 1194984443
Phil James Nyderek Sr.'s National Provider Identifier is 1194984443, issued on Jun 3, 2008. The primary taxonomy on file is Home Modifications Contractor (171WH0202X), and the practice location is in Greenup, KY. The record was last updated on May 12, 2015.