Kal Medical Supplies Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KAL MEDICAL SUPPLIES INC.

Practice address

4042 Pacific Ave Ste 103
Riverdale, UT 84405-1574

Phone

(801) 266-2795

Fax

(801) 293-9150

NPI assigned

Sep 7, 2018

Organization subpart

No

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

Authorized official

Name

Vincent Kalesi Nwibiabu

Title

President

Phone

(801) 266-2795

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1023591856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4042 PACIFIC AVE STE 103",
            "city": "RIVERDALE",
            "state": "UT",
            "postal_code": "844051574",
            "telephone_number": "801-266-2795",
            "fax_number": "801-293-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4042 PACIFIC AVE STE 103",
            "city": "RIVERDALE",
            "state": "UT",
            "postal_code": "844051574",
            "telephone_number": "801-266-2795",
            "fax_number": "801-293-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAL MEDICAL SUPPLIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-07",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "NWIBIABU",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "KALESI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-266-2795"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maegyn Ipsen, RBT
• Megan Ann Jacobson, DC
• Megan Elizabeth Johnson, RBT
• Christopher G Jones
• Kalie Jones, PHARMD
• Simerjeet Kaur
• Theresa Stueland Kay, PHD CLINICAL PSYCHOL
• Jenessa Kayser
• Ali Kelley
• Todd Frank Kelson

• Durable Medical Equipment & Medical Supplies in Riverdale, UT
• Providers in Riverdale, UT by specialty
• Durable Medical Equipment & Medical Supplies in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.