KENTUCKY MEDICAL SUPPLY INC. NPI 1942205943

NPI Information

NPI: 1942205943
Provider Name: KENTUCKY MEDICAL SUPPLY, INC.
Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
102 CASTLE RIDGE DR
EDMONTON, KY
ZIP 42129
Phone: (270) 432-0957
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KENTUCKY MEDICAL SUPPLY, INC. is an oxygen equipment and supplies durable medical equipment medical supplies in Edmonton, KY. KENTUCKY MEDICAL SUPPLY, INC. NPI is 1942205943. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

102 CASTLE RIDGE DR
EDMONTON, KY
ZIP 42129
Phone: (270) 432-0957
Fax: (270) 432-0957

The provider's authorized official is Stephen P Griggs .
The authorized official title is Ceo/ President and has the following contact phone number (407) 206-0040.

The enumeration date for this NPI number is 6/16/2005 and was last updated on 6/15/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0006X	Pediatrics	Developmental - Behavioral Pediatrics		KENTUCKY	No
2	332B00000X	Durable Medical Equipment & Medical Supplies		177855	KENTUCKY	No
3	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies	175293	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	90100058	MEDICAID	KENTUCKY
2	000000070314	OTHER	KENTUCKY	BC PROVIDER ID NO.
3	7542	OTHER	KENTUCKY	CHA PROVIDER ID NO.
4	45907789	OTHER	KENTUCKY	EPSDT PROVIDER ID NO.

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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