Organization Active NPI

Kevcon Respiratory Home Care

  • Durable Medical Equipment & Medical Supplies
  • Sedgewickville, MO
National Provider Identifier
1316145873
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KEVCON RESPIRATORY HOME CARE
Practice address
RT 2 Box 2060
Sedgewickville, MO 63781
Phone
(573) 866-3177
Fax
(573) 866-2353
NPI assigned
Jul 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Clarence A Myers
Title
Ceo Pres
Phone
(573) 866-3177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

RT 2 Box 2060
Sedgewickville, MO 63781

Mailing address

PO Box 573
Jackson, MO 63755
Phone (573) 866-3177

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316145873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 573",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "63755",
            "telephone_number": "573-866-3177",
            "fax_number": "573-866-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RT 2 BOX 2060",
            "city": "SEDGEWICKVILLE",
            "state": "MO",
            "postal_code": "63781",
            "telephone_number": "573-866-3177",
            "fax_number": "573-866-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVCON RESPIRATORY HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO PRES",
        "authorized_official_telephone_number": "573-866-3177",
        "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": []
}

Other providers in Sedgewickville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.