# BURKESVILLE MEDICAL SUPPLY, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417066424
- **Authorized official:** MR. GARY LYNN WHITE (OWNER CEO)
- **Authorized official phone:** (270) 864-2230

## Contact information

- **Practice address:** 365 KEEN ST, BURKESVILLE, KY 42717-0006
- **Practice address phone:** (270) 864-2230
- **Practice address fax:** (270) 864-2691
- **Mailing address:** PO BOX 6, BURKESVILLE, KY 42717-0006
- **Mailing address phone:** (270) 864-2230
- **Mailing address fax:** (270) 864-2691

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 332BN1400X | Nursing Facility Supplies (DME) | — | NULL | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | MG0187 | KY | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 12/27/2022