Kal Medical Supplies Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KAL MEDICAL SUPPLIES INC.

Practice address

621 W 3900 S Ste A100
Salt Lake City, UT 84123-1347

Phone

(877) 266-9545

Fax

(801) 293-9150

NPI assigned

Dec 12, 2007

Organization subpart

No

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

Authorized official

Name

Vincent Kalesi Nwibiabu

Title

Director

Phone

(877) 266-9545

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1386827418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 W 3900 S STE A100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841231347",
            "telephone_number": "877-266-9545",
            "fax_number": "801-293-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 W 3900 S STE A100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841231347",
            "telephone_number": "877-266-9545",
            "fax_number": "801-293-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAL MEDICAL SUPPLIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "NWIBIABU",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "KALESI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "877-266-9545"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "UT",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "UT",
            "license": "6814204-1714",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Andrew Jon Kalinen

• Durable Medical Equipment & Medical Supplies in Salt Lake City, UT
• Providers in Salt Lake City, 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 Oct 26, 2021; 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.