KVGP Medical

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

KVGP MEDICAL

Practice address

3260 Fountain Falls Way
#2075
North Las Vegas, NV 89032-2225

Phone

(702) 413-3647

NPI assigned

Mar 26, 2016

Last updated

Mar 26, 2016By 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

Kobuna E Vickers

Title

Ceo

Phone

(702) 413-3647

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1458950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458950400000",
    "number": "1841652062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 FOUNTAIN FALLS WAY",
            "address_2": "#2075",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890322225",
            "telephone_number": "702-413-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 FOUNTAIN FALLS WAY",
            "address_2": "#2075",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890322225",
            "telephone_number": "702-413-3647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KVGP MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-26",
        "last_updated": "2016-03-26",
        "status": "A",
        "authorized_official_last_name": "VICKERS",
        "authorized_official_first_name": "KOBUNA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-413-3647"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Kurdt
• Aakeem Kursh Jackson
• Robert Alan Kutner, PSYD
• Brianna Marcell Kuznetsov
• Donald I Kuzyk, DPM
• Dorothy Kviberg
• Mirabelle Kwek
• Nelson Jong Kwowi
• Janice Marie Kyle
• James Kyles

• Oxygen Equipment & Supplies (DME) in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Oxygen Equipment & Supplies (DME) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2016; 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.