Organization
JET MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN SMALL (OWNER)
(502) 254-6100
Entity
Organization
Contact information
Practice address
12700 TOWNEPARK WAY, DANVILLE BUILDING, LOUISVILLE, KY 40243
(502) 254-6100
(502) 254-6181
Mailing address
12700 TOWNEPARK WAY, DANVILLE BUILDING, LOUISVILLE, KY 40243
(502) 254-6100
(502) 254-6181
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
KY
Other
Enumeration date
02/13/2007
Last updated
07/21/2022
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