Organization Active NPI

KMR Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • American Fork, UT
National Provider Identifier
1477828804
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KMR MEDICAL LLC
Practice address
831 E 340 S
Suite 130
American Fork, UT 84003-3327
Phone
(801) 692-1056
Fax
(866) 503-0131
NPI assigned
Mar 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Authorized official

Name
Tim Watson
Title
Manager
Phone
(801) 692-1056

Specialties & licenses 1

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

Addresses

Primary practice location

831 E 340 S
Suite 130
American Fork, UT 84003-3327

Mailing address

831 E 340 S
Suite 130
American Fork, UT 84003-3327
Phone (801) 692-1056

National Provider Directory

National Provider Directory
Tax ID family
KMR Medical LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1477828804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 E 340 S",
            "address_2": "SUITE 130",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840033327",
            "telephone_number": "801-692-1056",
            "fax_number": "866-503-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 E 340 S",
            "address_2": "SUITE 130",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840033327",
            "telephone_number": "801-692-1056",
            "fax_number": "866-503-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMR MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-692-1056"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.