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Organization
KENTUCKY MEDICAL SUPPLY, INC.
Active
Organization
KENTUCKY MEDICAL SUPPLY, INC.
Active
Parent organization
AEROCARE HOLDINGS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
AEROCARE HOLDINGS, INC.
Authorized official
MR. STEPHEN P GRIGGS (CEO/ PRESIDENT)
(407) 206-0040
Entity
Organization
Contact information
Practice address
102 CASTLE RIDGE DR, EDMONTON, KY 42129
(270) 432-0957
(270) 432-0957
Mailing address
3325 BARTLETT BLVD, ORLANDO, FL 32811-6428
(407) 206-0040
(407) 206-0010
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
KY
332B00000X
Durable Medical Equipment & Medical Supplies
177855
KY
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
175293
KY
Other
Enumeration date
06/16/2005
Last updated
06/15/2020
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