Provider Demographics
NPI:1679111405
Name:SOUND SLEEP MEDICAL LLC
Entity Type:Organization
Organization Name:SOUND SLEEP MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position: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:832-290-0992
Mailing Address - Street 1:321 E STATE RD STE 1
Mailing Address - Street 2:
Mailing Address - City:AMERICAN FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84003-2275
Mailing Address - Country:US
Mailing Address - Phone:801-685-3225
Mailing Address - Fax:801-210-7067
Practice Address - Street 1:321 E STATE RD STE 1
Practice Address - Street 2:
Practice Address - City:AMERICAN FORK
Practice Address - State:UT
Practice Address - Zip Code:84003-2275
Practice Address - Country:US
Practice Address - Phone:385-290-0992
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-11
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies