Kentucky Medical Supply, Inc
Kentucky Medical Supply, Inc is a Developmental - Behavioral Pediatrics Physician in Edmonton, Kentucky. Licensed in Kentucky. Registered with an NPI since 2005.
- Licensed in
- KY
- In the registry since
- 2005
- Specialties on file
- 3
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
102 Castle Ridge DrEdmonton, KY 42129
Phone: (270) 432-0957
Fax: (270) 432-0957
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oxygen Equipment & Supplies (DME) (primary) | Taxonomy 332BX2000X · Licence 175293 (KY) |
|---|---|
| Developmental - Behavioral Pediatrics Physician | Taxonomy 2080P0006X (KY) |
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X · Licence 177855 (KY) |
Record details
| NPI number | 1942205943 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Aerocare Holdings, Inc |
| Authorized official | Stephen Griggs — Ceo/ President · (407) 206-0040 |
| NPI enumerated | June 16, 2005 |
| Last updated in NPPES | June 15, 2020 |
| Certification date | June 15, 2020 |
| Mailing address | 3325 Bartlett Blvd, Orlando, FL 32811-6428 |