Organization Active NPI

KB Medical Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Terre Haute, IN
National Provider Identifier
1659493252
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KB MEDICAL SUPPLIES LLC
Practice address
1501 N Stop 18 St
Terre Haute, IN 47803-9609
Phone
(812) 877-1939
Fax
(812) 877-9620
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Randi J Brown
Title
Owner
Phone
(812) 877-1939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1501 N Stop 18 St
Terre Haute, IN 47803-9609

Mailing address

1501 N Stop 18 St
Terre Haute, IN 47803-9609
Phone (812) 877-1939

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659493252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N STOP 18 ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478039609",
            "telephone_number": "812-877-1939",
            "fax_number": "812-877-9620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N STOP 18 ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478039609",
            "telephone_number": "812-877-1939",
            "fax_number": "812-877-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KB MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "RANDI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-877-1939"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

  • 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.