KN Medical Supplies Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KN MEDICAL SUPPLIES INC

Practice address

3355 S Main St
South Salt Lake, UT 84115-4443

Phone

(801) 266-2795

NPI assigned

Sep 4, 2024

Organization subpart

No

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

Authorized official

Name

Princess D Nwibiabu

Title

Ceo

Phone

(801) 882-1817

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1285469841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 S MAIN ST",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841154443",
            "telephone_number": "801-266-2795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 S MAIN ST",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841154443",
            "telephone_number": "801-266-2795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KN MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "NWIBIABU",
        "authorized_official_first_name": "PRINCESS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-882-1817"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucy Kennedy
• Desiree Kepper
• Michaela Kiersch
• Kim'S New Star
• Gabriella Kinikini
• Troy Elizabeth Knight
• Jennifer Leigh Knott, RN
• Dylon Kohler
• Lori E Krasny, MS-CCC
• Rosalyn Kuhle, MS, CCC-SLP

• Durable Medical Equipment & Medical Supplies in South Salt Lake, UT
• Providers in South Salt Lake, 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 Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.