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NPI Provider: 1942205943
Contact Name: Grimsley G. Ronnie
Position: Owner - President
Phone: (270) 432-0957
Kentucky Medical Supply, Inc. Information:
Kentucky Medical Supply, Inc. organization have npi 1942205943, taxonomy code is 2080P0006X with license number is C0002450 in . This Business address located in 102 Castle Ridge Dr, Edmonton, KY 42129 Kentucky. Get directions of Kentucky Medical Supply, Inc..
Practice Location
Address: 102 Castle Ridge Dr, Edmonton, KY 42129
Phone: (270) 432-0957
Business Location
Address: 102 Castle Ridge Dr, Edmonton, KY 42129
Phone: (270) 432-0957
Fax: (270) 432-0957
Taxonomy
Taxonomy Code: 2080P0006X
License Number: C0002450
License Number of State: KY
Primary Taxonomy Switch: N
Enumeration Date: 6/16/2005
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