MEDICARE: KEYSTONE MEDICAL & SUPPLIES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1922933704
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KEYSTONE MEDICAL & SUPPLIES INC

Provider Business Mailing Address
First Line	:	270 TRACE COLONY PARK DR STE B
Second Line	:
City	:	RIDGELAND
State	:	MS
Zip	:	39157-8810
Country	:	US
Telephone Number	:	516-557-3290
Fax Number	:

Provider Business Practice Location Address
First Line	:	270 TRACE COLONY PARK DR STE B
Second Line	:
City	:	RIDGELAND
State	:	MS
Zip	:	39157-8810
Country	:	US
Telephone Number	:	516-557-3290
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	GURPREET SINGH
Credential	:
Telephone Number	:	516-557-3290

Provider Enumeration Date	:	06/15/2026
Last Update Date	:	06/15/2026

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