Keen Mobility Company

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

667119 Issued in OR

Legal business name

KEEN MOBILITY COMPANY

Doing business as

Keen Home Medical

Practice address

9510 SE Main St
Milwaukie, OR 97222-7413

Phone

(866) 330-5336

Fax

(888) 624-7890

NPI assigned

Aug 25, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Vail B Horton

Title

Ceo

Phone

(503) 285-9090

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Keen Home Medical Doing business as

Locations

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1326295080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9510 SE MAIN ST",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227413",
            "telephone_number": "503-847-2020",
            "fax_number": "888-624-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9510 SE MAIN ST",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227413",
            "telephone_number": "866-330-5336",
            "fax_number": "888-624-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEEN MOBILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-25",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "HORTON",
        "authorized_official_first_name": "VAIL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-285-9090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OR",
            "license": "667119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "233141",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9055716",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keen Home Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Manjovan Kaur
• Angella Spring Kazmierski, RN IBCLC
• Nathan Leng Kealey
• Rachel Diane Keast, CSWA
• Nicolle Lynn Keele, PHYSICAL THERAPIST
• Keen Mobility Company (Keen Home Medical)
• Bontu Kefele
• Keith D. Johns D.C., P.C. (Milwaukie Chiropractic Center)
• Katherine A Kelly
• Colette Dawn Kelsey, LCSW

• Durable Medical Equipment & Medical Supplies in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Durable Medical Equipment & Medical Supplies in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.