Kimlor Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KIMLOR MEDICAL SUPPLY

Practice address

830 E Robinson Ave
Ste B
Springdale, AR 72764-7113

Phone

(479) 872-1885

Fax

(479) 872-1889

NPI assigned

Feb 19, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Hal Dejarnatt

Title

Owner

Phone

(479) 872-1885

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1609015379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7510",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727667510",
            "telephone_number": "479-872-1885",
            "fax_number": "479-872-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 E ROBINSON AVE",
            "address_2": "STE B",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727647113",
            "telephone_number": "479-872-1885",
            "fax_number": "479-872-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMLOR MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-19",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "DEJARNATT",
        "authorized_official_first_name": "HAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-872-1885",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele R Kilmer, PNP
• Kimberly a. Owens, Optometric Physician, PA
• Donathan Scott Kimbrough
• Jonathan Kimbrough, CNIM
• Randal Shepard Kimbrough, D.D.S.
• Israel Kincy
• Rachel Blair Kindhart
• Crystal Lynn King, LMSW
• Elizabeth King
• James Allen King, LAC

• Durable Medical Equipment & Medical Supplies in Springdale, AR
• Providers in Springdale, AR by specialty
• Durable Medical Equipment & Medical Supplies in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.