Provider Demographics
NPI:1215589734
Name:SOUND SLEEP MEDICAL LLC
Entity Type:Organization
Organization Name:SOUND SLEEP MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KIAYA
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:KILPACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:385-290-0992
Mailing Address - Street 1:8941 S 700 E STE 204
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84070-2402
Mailing Address - Country:US
Mailing Address - Phone:801-685-3225
Mailing Address - Fax:
Practice Address - Street 1:210 W GEORGIA AVE STE 100
Practice Address - Street 2:
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83686-5688
Practice Address - Country:US
Practice Address - Phone:208-969-9014
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-15
Last Update Date:2019-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies