Kist Medical LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

KIST MEDICAL LLC

Practice address

1029 S Nova Rd
Unit D
Ormond Beach, FL 32174-9021

Phone

(386) 233-0075

Fax

(386) 492-4749

NPI assigned

Jun 15, 2011

Last updated

Jun 15, 2011By 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

Mr. Matthew Twers

Title

President

Phone

(386) 233-0075

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1114212446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 INVERRAY CT",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748783",
            "telephone_number": "386-233-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 S NOVA RD",
            "address_2": "UNIT D",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321749021",
            "telephone_number": "386-233-0075",
            "fax_number": "386-492-4749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIST MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-15",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "TWERS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-233-0075",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Kimmel, PA-C
• Isabelle B. King, B.S, M.ED, PH.D.
• Jennifer King, LMT
• Jody Michele King, ARNP, FNP-C
• Sandford H. Kinne III, DO
• Leila Klemm
• Thomas Matthew Kline, O.D.
• Andria Klioze, M.D.
• Kay Louise Klymko, FNP
• Debra Komins

• Oxygen Equipment & Supplies (DME) in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Oxygen Equipment & Supplies (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; 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.