KD Medical Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KD MEDICAL INC

Practice address

4565 Monaco CT
Orcutt, CA 93455-4073

Phone

(805) 720-0546

Fax

(805) 937-8594

NPI assigned

Oct 20, 2020

Last updated

Oct 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kris Shedd

Title

President

Phone

(805) 720-0546

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1811596901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 E CLARK AVE STE 150-287",
            "city": "ORCUTT",
            "state": "CA",
            "postal_code": "934555178",
            "telephone_number": "805-720-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4565 MONACO CT",
            "city": "ORCUTT",
            "state": "CA",
            "postal_code": "934554073",
            "telephone_number": "805-720-0546",
            "fax_number": "805-937-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KD MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-20",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "SHEDD",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-720-0546",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Joelle James, NP-C, AGACNP-BC
• Gretchen Amigo Jo
• Christina Johnson
• Kristen Layne Johnson, AMFT
• Sandra L. Jordan, RN
• Brennon King, ATC, CES
• Mindy Lam
• Lights on Learning
• Michelle Mackinnon, R.D.
• Milan McGary

• Durable Medical Equipment & Medical Supplies in Orcutt, CA
• Providers in Orcutt, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.