K&B Medical Wigs, LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

K&B MEDICAL WIGS, LLC

Practice address

16250 Northland Dr. Ste 221
Southfield, MI 48075

Phone

(248) 662-6854

NPI assigned

Jul 24, 2020

Last updated

Jul 24, 2020By 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

Keturah Carleta Tolbert

Title

Ceo

Phone

(248) 662-6854

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595548800000",
    "number": "1851900054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19785 W 12 MILE RD # 155",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762584",
            "telephone_number": "248-662-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16250 NORTHLAND DR. STE 221",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48075",
            "telephone_number": "248-662-6854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K&B MEDICAL WIGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A",
        "authorized_official_last_name": "TOLBERT",
        "authorized_official_first_name": "KETURAH",
        "authorized_official_middle_name": "CARLETA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-662-6854"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryam J Jundi
• Emily Ann Jung, LMSW
• JZ Chats Home Heath Services of Michigan
• K R Dinkins Enterprises LLC
• K. Hamamdjian MD PC
• Kaada Physical Therapy
• Teresa Linda Kabacinski
• Bruce Ian Kaczander, DPM
• Kyle Kaczor
• Nicole Natalya Kada

• Customized Equipment (DME) in Southfield, MI
• Providers in Southfield, MI by specialty
• Customized Equipment (DME) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.