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Life Source Medical Supply, Inc.
Durable Medical Equipment & Medical Supplies in Wichita, Kansas
NPI 1578743837

Life Source Medical Supply, Inc. is a Durable Medical Equipment & Medical Supplies based in Wichita, KS. Life Source Medical Supply, Inc. practices in Wichita, KS. The NPI Number for Life Source Medical Supply, Inc. is 1578743837 and holds a License No. (Kansas).

The current practice location address for Life Source Medical Supply, Inc. is 1119 W Douglas Ave, Wichita, KS and can be reached out via phone at 316-260-9314 and via fax at 316-260-9316.

Location: 1119 W Douglas Ave, Wichita, KS, 67213-4017
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578743837
Provider Name
Life Source Medical Supply, Inc.
Credential
Provider Entity Type
Organization
Address
1119 W Douglas Ave, Wichita, KS, 67213-4017
Phone Number
316-260-9314
Fax Number
316-260-9316
Provider Enumeration Date
11/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200532650A 05 KS
institution
Provider Business Practice Location Address Details
Address
1119 W Douglas Ave
City
Wichita
State
Kansas
Zip
67213-4017
Phone Number
316-260-9314
Fax Number
316-260-9316
person
Provider Business Mailing Address Details
Address
1119 W Douglas Ave
City
Wichita
State
Kansas
Zip
67213-4017
Phone Number
316-260-9314
Fax Number
316-260-9316
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
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Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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