Organization
ELITE MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY KARR (MANAGING MEMBER)
(606) 330-0570
Entity
Organization
Contact information
Practice address
1501 S MAIN ST, SUITE G, LONDON, KY 40741-2091
(606) 330-0570
(606) 330-0571
Mailing address
1501 S MAIN ST, SUITE G, LONDON, KY 40741-2091
(606) 330-0570
(606) 330-0571
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100193800
—
KY
Enumeration date
04/26/2011
Last updated
07/11/2024
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