Keilen Shoes

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KEILEN SHOES

Practice address

1487 S Linden Rd
Flint, MI 48532-4167

Phone

(810) 249-8461

Fax

(810) 249-7931

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Kathleen Marie Gundersen

Title

Owner

Phone

(810) 249-8461

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1023224565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1487 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485324167",
            "telephone_number": "810-249-8461",
            "fax_number": "810-249-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1487 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485324167",
            "telephone_number": "810-249-8461",
            "fax_number": "810-249-7931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEILEN SHOES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "GUNDERSEN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-249-8461"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Keeler, OT
• Victoria T Keels
• Kathleen Rose Keenan, M.S. CCC-SLP
• Demetrius Antoine Keener
• Kaitlin Ashlee Keener
• Kimberly Rae Keisel, MA, LLPC
• Keith B Daniels DPM PC
• Keith Specialized Residential Services, LLC
• Linda A Kelleghan
• Haley Keller, NP-C

• Durable Medical Equipment & Medical Supplies in Flint, MI
• Providers in Flint, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.