Organization
KEY MEDICAL SUPPLY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIA P SMILO MS,CCC-SLP (MEMBER)
(601) 445-0005
Entity
Organization
Contact information
Practice address
123 JEFFERSON DAVIS BLVD, NATCHEZ, MS 39120-5103
(601) 445-0005
(601) 445-0370
Mailing address
123 JEFFERSON DAVIS BLVD, NATCHEZ, MS 39120-5103
(601) 445-0005
(601) 445-0370
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
14270/11.1
MS
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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