Kevmed, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

801645295 Issued in TX

Legal business name

KEVMED, LLC

Practice address

17304 Preston Rd Ste 800
Dallas, TX 75252-5645

Phone

(972) 931-5596

Fax

(972) 931-5476

NPI assigned

Nov 10, 2015

Organization subpart

No

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

Authorized official

Name

Dr. David Mark Wiseman, PHD

Title

President

Phone

(972) 931-5596

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573689600000",
    "number": "1598138646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17304 PRESTON RD STE 800",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525645",
            "telephone_number": "972-931-5596",
            "fax_number": "972-931-5476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17304 PRESTON RD STE 800",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525645",
            "telephone_number": "972-931-5596",
            "fax_number": "972-931-5476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVMED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-10",
        "last_updated": "2019-11-14",
        "status": "A",
        "authorized_official_last_name": "WISEMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-931-5596",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "801645295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "None",
            "affiliation": "N",
            "address_1": "17304 Preston Rd Ste 800",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752525645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Arunima Jayaram Ketu
• Heejo Keum
• Kevin B. Waldrep, M.D.,PLLC
• Kevin Joseph Kearns, M.D., Medical Corporation
• Kevin Y Kim MD PA
• Key Autism Services TX, LLC
• Ann S Key, LPC-S
• Charles Bain Key, M.D.
• Eleanor L. Key, LCSW
• Sydney Alexis Key

• Durable Medical Equipment & Medical Supplies in Dallas, TX
• Providers in Dallas, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; 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.