Provider Demographics
NPI:1750786604
Name:KEYMED CPAP SERVICES LLC
Entity type:Organization
Organization Name:KEYMED CPAP SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/RESPIRATORY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LIKESHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:OUTTEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-463-9003
Mailing Address - Street 1:133 DRIFTWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:SC
Mailing Address - Zip Code:29045-8547
Mailing Address - Country:US
Mailing Address - Phone:803-463-9003
Mailing Address - Fax:
Practice Address - Street 1:133 DRIFTWOOD AVE
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:SC
Practice Address - Zip Code:29045-8547
Practice Address - Country:US
Practice Address - Phone:803-463-9003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-04
Last Update Date:2014-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC028126894332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment