Key Diabetes Supply Co

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KEY DIABETES SUPPLY CO

Practice address

11585 Farmington Rd
Livonia, MI 48150-5729

Phone

(877) 541-7930

Fax

(877) 541-7931

NPI assigned

Jul 7, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Matt Gietzen

Title

Owner

Phone

(877) 541-7930

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Aom Healthcare Solutions2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Key Diabetes Supply Co

  • Durable Medical Equipment & Medical Supplies
  • Livonia, MI
  • NPI 1427071364
  NPD tax ID

Locations

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1285631986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11585 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481505729",
            "telephone_number": "877-541-7930",
            "fax_number": "877-541-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11585 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481505729",
            "telephone_number": "877-541-7930",
            "fax_number": "877-541-7931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY DIABETES SUPPLY CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GIETZEN",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-541-7930",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4415845",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Kerr, DPM
• Andrea Kersten, PHARMD
• Brandon Keskitalo, PT, DPT
• Janet Grace Kester, LMSW
• Mallory M Kestler
• Key Diabetes Supply Co
• Ashley Keyes, DPT
• Emily Keyes
• Marsha Keys
• Khaled H El-Hoshy MD PC

• Durable Medical Equipment & Medical Supplies in Livonia, MI
• Providers in Livonia, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.