Kenny Kalubabari Msiakii

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

COC0700223 Issued in LA

Practice address

610 Marshall St
Suite #501
Shreveport, LA 71101-3784

Phone

(318) 222-6656

Fax

(318) 222-6656

NPI assigned

Mar 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Joy Supply & General Services

  • Durable Medical Equipment & Medical Supplies
  • Shreveport, LA
  • NPI 1598948119
  NPD (past) Authorized official

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1821115932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 MARSHALL ST",
            "address_2": "SUITE #501",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013784",
            "telephone_number": "318-222-6656",
            "fax_number": "318-222-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 MARSHALL ST",
            "address_2": "SUITE #501",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013784",
            "telephone_number": "318-222-6656",
            "fax_number": "318-222-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MSIAKII",
        "first_name": "KENNY",
        "middle_name": "KALUBABARI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": "COC0700223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "12742742",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emile K Moussaed, DDS
• Rasha Moussallem, M.D
• Danielle Mouton
• Moveable Transportation
• Ronald S. Mowad, MD
• Xinjie Mu
• Hailey Catherine Muehleisen
• Omar Muhammad
• Luke Muiznieks
• Sarah Varnado Muiznieks, NP-C

• Durable Medical Equipment & Medical Supplies in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Durable Medical Equipment & Medical Supplies in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.