Organization
KENTUCKIANA MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA KIRKLIN (PRESIDENT)
(502) 338-8568
Entity
Organization
Contact information
Practice address
6902 GATES LN, CRESTWOOD, KY 40014-7014
(502) 394-0926
Mailing address
6902 GATES LN, CRESTWOOD, KY 40014-7014
(502) 394-0926
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/08/2010
Last updated
04/08/2010
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