Kidmed LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KIDMED LLC

Practice address

1715 Friendship Cir Ste 400
Cumming, GA 30028-6921

Phone

(404) 551-9826

Fax

(770) 589-1910

NPI assigned

Jul 31, 2023

Last updated

Aug 2, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cynthia Huizar

Title

Owner

Phone

(770) 589-1911

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1073294039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6425 VALLEY CROSSING WAY",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300282273",
            "telephone_number": "404-551-9826",
            "fax_number": "770-589-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 FRIENDSHIP CIR STE 400",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300286921",
            "telephone_number": "404-551-9826",
            "fax_number": "770-589-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDMED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "HUIZAR",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-589-1911"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaheh Kheirbakhsh, PAC
• Vikram Khetpal, MD
• Holly Khorramzadeh, APRN
• Rinku Khullar
• Evelyn Kidd, OTR/L
• Kidney Care Clinic LLC
• Kidztherapy Networks Inc
• Stephanie L. Kiel, OT
• Meghan E Kieninger, PT
• Ashley La'Shon Kilcrease, CNP

• Durable Medical Equipment & Medical Supplies in Cumming, GA
• Providers in Cumming, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.