Organization
KENTUCKIANA MEDICAL DISTRIBUTORS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL STEPHEN MAYNARD (PRINCIPAL)
(502) 822-1477
Entity
Organization
Contact information
Practice address
9282 STORAGE WAY, LOUISVILLE, KY 40291-4825
(502) 822-1477
(502) 822-1919
Mailing address
9282 STORAGE WAY, LOUISVILLE, KY 40291
(502) 822-1477
(502) 822-1919
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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