KSS Durable Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KSS DURABLE MEDICAL SUPPLY

Practice address

5209 N Jardot
Stillwater, OK 74075-6128

Phone

(405) 385-5040

Fax

(405) 385-5009

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Joseph David Simon

Title

President Owner Operator

Phone

(405) 385-5040

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1710190400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5209 N JARDOT",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740756128",
            "telephone_number": "405-385-5040",
            "fax_number": "405-385-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5209 N JARDOT",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740756128",
            "telephone_number": "405-385-5040",
            "fax_number": "405-385-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KSS DURABLE MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT OWNER OPERATOR",
        "authorized_official_telephone_number": "405-385-5040",
        "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": []
}

• Julie Koch, PH.D., LHSP
• Nicholas A Koemel, MS, RD
• Neal G Kohnke, R.PH
• Rachel Korn
• Ksco Home Dialysis of Stillwater Ok LLC
• Crystal Kubicek
• Edward David Kuekes, MD
• Lanita Jo Kusik, SPEECH PATHOLOGIST
• Erin Kyle, R.D.
• Sheriden Labrecque

• Durable Medical Equipment & Medical Supplies in Stillwater, OK
• Providers in Stillwater, OK by specialty
• Durable Medical Equipment & Medical Supplies in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; 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.