Organization
EXPRESS MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BULTERMAN (CHIEF OPERATING OFFICER)
(402) 234-2003
Entity
Organization
Contact information
Practice address
4630 SHEPHERDSVILLE RD, LOUISVILLE, KY 40218-3441
(402) 234-2003
(402) 234-2004
Mailing address
4630 SHEPHERDSVILLE RD, LOUISVILLE, KY 40218-3441
(402) 234-2003
(402) 234-2004
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
285309
DME
KY
Enumeration date
02/17/2016
Last updated
09/25/2025
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