Kentucky Medical Supply, Inc.

LBN: Kentucky Medical Supply, Inc.
Kentucky Medical Supply, Inc. is an health care organization with primary practice located at 102 Castle Ridge Dr , Edmonton KY 42129. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Oxygen Equipment & Supplies. Suppliers / Oxygen Equipment & Supplies is the primary health care specialty. Kentucky Medical Supply, Inc. can be contacted via phone (270) 432-0957, or through Griggs, Stephen P via phone (407) 206-0040.

Contact Information

Primary practice address
102 Castle Ridge Dr Edmonton KY 42129
Phone: (270) 432-0957
Fax: (270) 432-0957
Website:
Map and Directions
Authorized official contact:
Name: Griggs, Stephen P
Phone: (407) 206-0040

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X Kentucky
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 177855 Kentucky
Suppliers / Oxygen Equipment & Supplies 332BX2000X 175293 Kentucky

Profile Details

NPI number 1942205943
LBN Legal business name Kentucky Medical Supply, Inc.
DBA Doing business as
Authorized official Griggs, Stephen P
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 16th, 2005
Last updated Jun 15th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942205943 NPPES
Kentucky Other 45907789 EPSDT PROVIDER ID NO.
Kentucky Other 7542 EPSDT PROVIDER ID NO.
Kentucky MEDICAID 90100058 EPSDT PROVIDER ID NO.
Kentucky Other 000000070314 EPSDT PROVIDER ID NO.

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