Provider Demographics
NPI:1366262602
Name:KMED MEDICAL SOLUTIONS
Entity type:Organization
Organization Name:KMED MEDICAL SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEARY
Authorized Official - Middle Name:RO-HAN
Authorized Official - Last Name:HINDS
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:973-897-2969
Mailing Address - Street 1:14 CROSS OAK LN
Mailing Address - Street 2:
Mailing Address - City:WEST MILFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07480-3600
Mailing Address - Country:US
Mailing Address - Phone:973-897-2969
Mailing Address - Fax:
Practice Address - Street 1:276 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07017-2889
Practice Address - Country:US
Practice Address - Phone:973-897-2969
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-11
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Multi-Specialty