Organization
DEPENDABLE MEDICAL SUPPLIES HOLDING, LLC
Active
Other names
Dependable Medical Supplies, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KYLE J WHITE (VICE PRESIDENT)
(502) 753-6000
Entity
Organization
Contact information
Practice address
9510 ORMSBY STATION RD, SUITE 101, LOUISVILLE, KY 40223-4081
(502) 753-5656
(502) 753-0803
Mailing address
9510 ORMSBY STATION RD, SUITE 101, LOUISVILLE, KY 40223-4081
(502) 753-5656
(502) 753-0803
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000384675
ANTHEM HEALTH PLANS OF KY
KY
05
—
90012329
—
KY
Enumeration date
10/12/2006
Last updated
08/22/2020
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