KG Medical Consulting

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

License

7382930-0160 Issued in UT

Legal business name

KG MEDICAL CONSULTING

Practice address

231 E 200 N
American Fork, UT 84003-1742

Phone

(801) 319-2772

NPI assigned

Jul 11, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Q. Jackson

Title

Owner

Phone

(801) 430-0282

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Choules, AU.D.

  • Audiologist
  • Washington, UT
  • NPI 1518251107
  NPD (past)

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1437671583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 E MURRAY HOLLADAY RD STE 115",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841175139",
            "telephone_number": "801-430-0282",
            "fax_number": "801-508-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 E 200 N",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840031742",
            "telephone_number": "801-319-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KG MEDICAL CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-11",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "Q.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-430-0282",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "UT",
            "license": "7382930-0160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendell T. Davies DMD PLLC
• Madison Kennedy, COTA
• Kenneth E Hooton, O.D.
• J Cameron Kesler, DO
• Keys to Mending Therapy and Wellness, PLLC
• Kick the Habit Addiction Medicine, LLC
• Cassidy Kieper
• Claudia Killebrew, CNM
• Tiera Kimball, CSW
• Georgia Ann Kimber, FMT

• Physiological Laboratory in American Fork, UT
• Providers in American Fork, UT by specialty
• Physiological Laboratory in Utah

• 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.