# PENNYRILE HOME MEDICAL

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

## Provider details

- **NPI number:** 1841863396
- **Authorized official:** DAVID CHESNUT (OWNER)
- **Authorized official phone:** (270) 885-2500

## Contact information

- **Practice address:** 830 FAIRVIEW AVE STE B5, BOWLING GREEN, KY 42101-4912
- **Practice address phone:** (270) 393-9393
- **Practice address fax:** (270) 393-9383
- **Mailing address:** 217 BURLEY AVE, HOPKINSVILLE, KY 42240-8725
- **Mailing address phone:** (270) 885-2500
- **Mailing address fax:** (270) 889-9431

## Taxonomy

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

## Other

- **Enumeration date:** 07/22/2021
- **Last updated:** 07/22/2021