Kengard Enterprises LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KENGARD ENTERPRISES LLC

Practice address

1765 Lininger LN
Suite 300
North Liberty, IA 52317-2316

Phone

(319) 626-6020

Fax

(319) 626-6022

NPI assigned

Dec 13, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Kelly Kent, PHARM.D.

Title

RPH

Phone

(641) 203-1597

Specialties & licenses 1

Addresses

Other names 1

• Kent Pharmacy Services Doing business as

Locations

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

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1811233174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 327",
            "city": "WILLIAMSBURG",
            "state": "IA",
            "postal_code": "523610327",
            "telephone_number": "641-203-1597",
            "fax_number": "319-626-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1765 LININGER LN",
            "address_2": "SUITE 300",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523172316",
            "telephone_number": "319-626-6020",
            "fax_number": "319-626-6022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENGARD ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-13",
        "last_updated": "2012-12-13",
        "status": "A",
        "authorized_official_last_name": "KENT",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "641-203-1597",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kent Pharmacy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tess M Judge-Ellis, DND, ARNP
• Stacie Ann Kasper
• Kay Family Chiropractic, PLLC
• Jessica L Keeran, DPT
• Tyler Philip Kempf, ARNP
• Cameron G Kerl, MD
• Sandra Lea Kessler, LISW
• Keystone North Liberty, LLC
• Julie Anne King, LISW
• Molly Kay King, DPT, ATC

• Durable Medical Equipment & Medical Supplies in North Liberty, IA
• Providers in North Liberty, IA by specialty
• Durable Medical Equipment & Medical Supplies in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; 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.