Organization
PENNYRILE HOME MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID BYRON CHESNUT (OWNER/PRESIDENT)
(270) 885-2500
Entity
Organization
Contact information
Practice address
7654 EAGLE WAY, HOPKINSVILLE, KY 42240-8779
(270) 885-2500
(270) 889-9431
Mailing address
7654 EAGLE WAY, HOPKINSVILLE, KY 42240-8779
(270) 885-2500
(270) 889-9431
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100110680
—
KY
Enumeration date
07/11/2006
Last updated
10/13/2022
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