Kraina Supplies

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

KRAINA SUPPLIES

Doing business as

Kraina Supplies

Practice address

5606 Sumter Ave N
Crystal, MN 55428-3312

Phone

(612) 521-1619

Fax

(763) 219-8482

NPI assigned

Aug 2, 2011

Last updated

Aug 2, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Diana Hijah Baker

Title

Executive Director

Phone

(612) 251-1619

Specialties & licenses 1

Addresses

Other names 1

• Kraina Supplies Doing business as

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1558649913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5606 SUMTER AVE N",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554283312",
            "telephone_number": "612-521-1619",
            "fax_number": "763-219-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5606 SUMTER AVE N",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554283312",
            "telephone_number": "612-521-1619",
            "fax_number": "763-219-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRAINA SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-02",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "HIJAH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "612-251-1619"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kraina Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Haneefah King, AESTHETICIAN
• John Cooke Kluznik, MD
• Yaa Konadu Nti
• Delia Melissa Koolick
• Kowkab Home Health Care LLC
• James R Krause, MD
• Darrell A Krieger, MD
• Caitlin Ruth Kuck, MD
• Elizabeth E Kuettner, MC, LPC, CPRP
• Bethany S Kunkel, LPCC

• Customized Equipment (DME) in Crystal, MN
• Providers in Crystal, MN by specialty
• Customized Equipment (DME) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; 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.