Organization
PROFESSIONAL MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDDY C MULLINS RRT (MGR OWNER)
(606) 451-0216
Entity
Organization
Contact information
Practice address
342 BOGLE ST, STE 1, SOMERSET, KY 42503-2851
(606) 451-0216
(606) 451-1959
Mailing address
342 BOGLE ST, STE 1, SOMERSET, KY 42503-2851
(606) 451-0216
(606) 451-1959
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
182153
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90013822
—
KY
Enumeration date
07/07/2005
Last updated
04/10/2012
About Stedi
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