Kentucky DME Supplies LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KENTUCKY DME SUPPLIES LLC

Practice address

562 N Dixie Blvd Ste 3
Radcliff, KY 40160-1366

Phone

(270) 390-4153

NPI assigned

Apr 23, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Elvira Springer

Title

Owner

Phone

(270) 390-4153

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524441600000",
    "number": "1992293294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 N DIXIE BLVD STE 3",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401601366",
            "telephone_number": "270-390-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 N DIXIE BLVD STE 3",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401601366",
            "telephone_number": "270-390-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY DME SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-23",
        "last_updated": "2018-04-23",
        "status": "A",
        "authorized_official_last_name": "SPRINGER",
        "authorized_official_first_name": "ELVIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-390-4153",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.