OrganizationActive
Maverick Oxygen & Respiratory Equipment, LLC
NPI 1609020221 · Oxygen Equipment & Supplies (DME) · La Grange, KY
Provider details
- NPI number
- 1609020221
- Entity type
- Organization
- Primary specialty
- Oxygen Equipment & Supplies (DME)Suppliers
- Authorized official
- Scott Kittleson, President/Owner
- License
- MG0450 (KY)
Practice location
2510 Allen Ln
La Grange, KY 40031-8580
Phone: (502) 225-4772
Fax: (502) 225-0605
Mailing address
2510 Allen Ln
La Grange, KY 40031-8580
Registry dates
- Enumerated
- 2008-11-10
- Last updated
- 2008-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.