Key Medical Supply, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

332B00000X Issued in MN

Legal business name

KEY MEDICAL SUPPLY, INC.

Practice address

532 Apollo Dr
Suite 10
Lino Lakes, MN 55014-3031

Phone

(651) 792-3860

Fax

(651) 203-0210

NPI assigned

Oct 27, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Mary L Stroda

Title

3Rd Party Contracts Manager

Phone

(651) 792-3860

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659456457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 APOLLO DR",
            "address_2": "SUITE 10",
            "city": "LINO LAKES",
            "state": "MN",
            "postal_code": "550143031",
            "telephone_number": "651-792-3860",
            "fax_number": "651-203-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 APOLLO DR",
            "address_2": "SUITE 10",
            "city": "LINO LAKES",
            "state": "MN",
            "postal_code": "550143031",
            "telephone_number": "651-792-3860",
            "fax_number": "651-203-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STRODA",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "3RD PARTY CONTRACTS MANAGER",
        "authorized_official_telephone_number": "651-792-3860",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": "332B00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "87726",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "129734",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "72869",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "12D54KE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "8214599",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Elaine Jillian-Ohana, DC
• Alicia Clarice Johnson
• Craig Dennis Johnson, P.T
• Sarah Elizabeth Johnson, OTR/L
• Kellie Kershisnik, MD
• Sharon Lorraine King, RN
• Kaylee Jean Koski, DDS
• Susan Elizabeth Kreiner, PT
• Lakes Family Chiropractic Clinic P.a.
• Stephanie Lasch, LCMT

• Durable Medical Equipment & Medical Supplies in Lino Lakes, MN
• Providers in Lino Lakes, MN by specialty
• Durable Medical Equipment & Medical Supplies in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.