# KENTUCKY MEDICAL SUPPLY, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AEROCARE HOLDINGS, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1942205943
- **Legal business name:** AEROCARE HOLDINGS, INC.
- **Authorized official:** MR. STEPHEN P GRIGGS (CEO/ PRESIDENT)
- **Authorized official phone:** (407) 206-0040

## Contact information

- **Practice address:** 102 CASTLE RIDGE DR, EDMONTON, KY 42129
- **Practice address phone:** (270) 432-0957
- **Practice address fax:** (270) 432-0957
- **Mailing address:** 3325 BARTLETT BLVD, ORLANDO, FL 32811-6428
- **Mailing address phone:** (407) 206-0040
- **Mailing address fax:** (407) 206-0010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0006X | Developmental - Behavioral Pediatrics Physician | — | KY | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 177855 | KY | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 175293 | KY | Yes |

## Other

- **Enumeration date:** 06/16/2005
- **Last updated:** 06/15/2020