Organization
KNIGHT MEDICAL SUPPLY L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELIA MAE KNIGHT (OWNER, MANAGER)
(405) 743-1646
Entity
Organization
Contact information
Practice address
802 S LEWIS ST, STILLWATER, OK 74074-4621
(405) 743-1646
(405) 743-8202
Mailing address
802 S LEWIS ST, STILLWATER, OK 74074-4621
(405) 743-1646
(405) 743-8202
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100811470A
—
OK
01
—
1064120001
MEDICARE ID PRIOR TO 01/01/07
OK
Enumeration date
12/28/2006
Last updated
09/15/2008
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