Organization
KERN MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY MARIE HUGHES (MEDICAL DIRECTOR)
(661) 393-4877
Entity
Organization
Contact information
Practice address
2520 PEGASUS DR, BAKERSFIELD, CA 93308-6807
(661) 393-4877
(661) 393-7339
Mailing address
2520 PEGASUS DR, BAKERSFIELD, CA 93308-6807
(661) 393-4877
(661) 393-7339
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
10/29/2015
Last updated
11/16/2023
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