Kiom, LLC

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Legal business name

KIOM, LLC

Practice address

2060 Willow Bend CT
Prosper, TX 75078-9485

Phone

(972) 412-5299

Fax

(469) 453-3374

NPI assigned

Nov 16, 2019

Organization subpart

No

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

Authorized official

Name

Gary Williams

Title

Sole Member

Phone

(785) 341-2460

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1573862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610928000000",
    "number": "1558906222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11625 CUSTER RD STE 110-154",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750358783",
            "telephone_number": "972-412-5299",
            "fax_number": "469-453-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 WILLOW BEND CT",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750789485",
            "telephone_number": "972-412-5299",
            "fax_number": "469-453-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIOM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-16",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "785-341-2460"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2472E0500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Other, EEG",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammad Bilal Khan, RBT
• Madison Kids, RN
• Myongji Kim
• Bethany Erica Kimmey
• Dickson Kimuchu
• Chenetta Kirksey, MA, LPC
• Alyssa Knowles, BCBA
• Caroline Ko
• Kimberly Kois, LMT
• Wade Allen Konvalin, O.D.

• Electroneurodiagnostic Specialist/Technologist in Prosper, TX
• Providers in Prosper, TX by specialty
• Electroneurodiagnostic Specialist/Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.