K VA T FOOD STORES INC
NPI: 1306863766
· WISE, VA 24293
· Durable Medical Equipment & Medical Supplies
· NPI assigned 07/15/2006
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | SMITH, STEVEN (PRESIDENT & CEO) |
| NPI Enumeration Date | 07/15/2006 |
Related Entities
Other providers sharing the same authorized official: SMITH, STEVEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
48 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 0012A |
|
21 |
12 |
$0.00 |
| 0011A |
|
27 |
15 |
$0.00 |