Organization
KELLEY MEDICAL EQUIPMENT AND SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH KELLEY (OWNER)
(580) 920-2300
Entity
Organization
Contact information
Practice address
117 MARKET SQUARE, DURANT, OK 74701
(580) 920-2300
(580) 920-2301
Mailing address
117 MARKET SQUARE, DURANT, OK 74701
(580) 920-2300
(580) 920-2301
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/12/2010
Last updated
05/14/2013
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