# MCCREARY MEDICAL RESOURCES, LLC

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

## Provider details

- **NPI number:** 1881796142
- **Authorized official:** MR. JERRY L PENNINGTON (OWNER)
- **Authorized official phone:** (606) 376-1551

## Contact information

- **Practice address:** 57 OAKS LN, SUITE 14, WHITLEY CITY, KY 42653
- **Practice address phone:** (606) 376-1551
- **Practice address fax:** (606) 376-1502
- **Mailing address:** PO BOX 1180, WHITLEY CITY, KY 42653-1180
- **Mailing address phone:** (606) 376-1551
- **Mailing address fax:** (606) 376-1502

## Taxonomy

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

## Other

- **Enumeration date:** 09/05/2006
- **Last updated:** 12/13/2007
