Kingdom Medical Equipment LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

KINGDOM MEDICAL EQUIPMENT LLC

Practice address

1824 NW 52ND St
Lawton, OK 73505-3122

Phone

(580) 355-1511

Fax

(580) 355-0455

NPI assigned

Aug 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jay Hilliard

Title

Managing Member

Phone

(580) 355-1511

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542672000000",
    "number": "1144333089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 NW 52ND ST",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735053122",
            "telephone_number": "580-355-1511",
            "fax_number": "580-355-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 NW 52ND ST",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735053122",
            "telephone_number": "580-355-1511",
            "fax_number": "580-355-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM MEDICAL EQUIPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2018-11-20",
        "status": "A",
        "authorized_official_last_name": "HILLIARD",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "580-355-1511",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200073650 A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200073650 B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yunha Kim
• Kerry Jovita Kincade-Aneki
• Katy Kinder
• Jamari King
• Kody King, D.O.
• Clint Forrest Kirk, DO
• Veronica Antonia Kirk
• Kirk'S Emergency Medical Service Inc
• Benjamin Matthew Kirkland, DO
• Ebone Kirven

• Oxygen Equipment & Supplies (DME) in Lawton, OK
• Providers in Lawton, OK by specialty
• Oxygen Equipment & Supplies (DME) in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; 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.