KC Medical Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KC MEDICAL INC.

Practice address

9455 Lorton Market St
Suite 101
Lorton, VA 22079-1962

Phone

(703) 372-5980

Fax

(703) 372-5981

NPI assigned

Apr 8, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Fred Moalem

Title

Owner

Phone

(703) 372-5980

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270684800000",
    "number": "1164748778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9455 LORTON MARKET ST",
            "address_2": "SUITE 101",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220791962",
            "telephone_number": "703-372-5980",
            "fax_number": "703-372-5981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9455 LORTON MARKET ST",
            "address_2": "SUITE 101",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220791962",
            "telephone_number": "703-372-5980",
            "fax_number": "703-372-5981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-08",
        "last_updated": "2010-04-08",
        "status": "A",
        "authorized_official_last_name": "MOALEM",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-372-5980",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bintou G Kaba-Henderson, NP
• Heela Kakar
• Shaima Jalala Kanak, DNP,FNP
• Ofeliya Kara I
• Gurneet Kaur
• KC Pharmacy Healthmart Inc
• KC Pharmacy Healthmart Inc
• KC Pharmacy LLC
• Metsihet L Kebede
• Angelynn G Keighin, BEHAVIOR TECHNICIAN

• Durable Medical Equipment & Medical Supplies in Lorton, VA
• Providers in Lorton, VA by specialty
• Durable Medical Equipment & Medical Supplies in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; 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.