KMM Enterprises Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

0093289 Issued in TX

Legal business name

KMM ENTERPRISES INC

Practice address

1901 Deerbrook Dr
Tyler, TX 75703-5972

Phone

(903) 561-5896

Fax

(903) 561-5887

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Trenton K Ferguson

Title

President

Phone

(903) 530-3912

Specialties & licenses 1

Addresses

Other names 1

• live well medical supply Doing business as

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013070937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 DEERBROOK DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757035972",
            "telephone_number": "903-561-5896",
            "fax_number": "903-561-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 DEERBROOK DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757035972",
            "telephone_number": "903-561-5896",
            "fax_number": "903-561-5887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMM ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "TRENTON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-530-3912",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "0093289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "live well medical supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katharina A. Klouda, M.D.
• Michael James Klouda, MD
• Laura Beatrix Klueppel, LPC
• Cassie J Kluth
• Kmccounseling PLLC
• Amanda Taylor Knight, PHARMD
• Christine Tamara Knight, PT
• Lindsay Knight
• Kyle Knighton
• Ryan Knoebel

• Oxygen Equipment & Supplies (DME) in Tyler, TX
• Providers in Tyler, TX by specialty
• Oxygen Equipment & Supplies (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.