Organization
QUALITY MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY WAYNE GOOD (OWNER)
(606) 546-5789
Entity
Organization
Contact information
Practice address
104 BARNER LN, BARBOURVILLE, KY 40906-1802
(606) 546-5789
(606) 546-5789
Mailing address
104 BARNER LN, P.O. BOX 37, BARBOURVILLE, KY 40906-1802
(606) 546-5789
(606) 546-5789
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
243861
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90003492
—
KY
Enumeration date
12/28/2006
Last updated
08/22/2020
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