Provider Demographics
NPI:1831134675
Name:KMED INC
Entity Type:Organization
Organization Name:KMED INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CURT
Authorized Official - Middle Name:
Authorized Official - Last Name:KALAGIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-338-5633
Mailing Address - Street 1:10121 AIRPORT BLVD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-9502
Mailing Address - Country:US
Mailing Address - Phone:251-338-5633
Mailing Address - Fax:251-338-5635
Practice Address - Street 1:10121 AIRPORT BLVD
Practice Address - Street 2:SUITE 1
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-9502
Practice Address - Country:US
Practice Address - Phone:251-338-5633
Practice Address - Fax:251-338-5635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-17
Last Update Date:2010-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4900 37755332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009983430Medicaid
AL009983430Medicaid