# RELIANT MEDICAL SUPPLIER LLC

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

## Provider details

- **NPI number:** 1609546621
- **Authorized official:** JAIME M HAMM (MEMBER)
- **Authorized official phone:** (859) 241-6001

## Contact information

- **Practice address:** 105 EDGEWOOD PLAZA DR STE C, NICHOLASVILLE, KY 40356-1863
- **Practice address phone:** (859) 241-6001
- **Practice address fax:** (859) 241-6049
- **Mailing address:** 105 EDGEWOOD PLAZA DR STE C, NICHOLASVILLE, KY 40356-1863
- **Mailing address phone:** (859) 241-6001
- **Mailing address fax:** (859) 241-6049

## Taxonomy

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

## Other

- **Enumeration date:** 09/20/2021
- **Last updated:** 09/24/2021