Organization
ADVANCED MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEN MILLER (VP FINANCE CFO)
(580) 251-8554
Entity
Organization
Contact information
Practice address
2145 W ELK AVE, DUNCAN, OK 73533-1550
(580) 252-4700
(580) 252-4205
Mailing address
2145 W ELK AVE, DUNCAN, OK 73533-1550
(580) 252-4700
(580) 252-4205
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100812290A
—
OK
Enumeration date
06/16/2005
Last updated
05/08/2026
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