KP MEDICAL SUPPLY LLC
NPI 1912714601
Durable Medical Equipment & Medical Supplies in Ravenna, OH

Active since December 16, 2024CLIA 36D2329187 · Waiver
149 N PROSPECT ST STE 2, RAVENNA, OH 44266(234) 243-7480 Get Directions Write a Review

NPPES record last updated: October 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 17, 2025, Dec 16, 2024 (2 updates tracked since 2024).

About Kp Medical Supply Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KP MEDICAL SUPPLY LLC (NPI 1912714601) is a healthcare organization registered as a durable medical equipment & medical supplies in Ravenna, Ohio and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through August 24, 2027 and lists Mohammed Mehdi Abedi Syed, Owner, as its authorized official.

NPPES Registry Identity

NPI1912714601
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameKP MEDICAL SUPPLY LLC
Location Address149 N PROSPECT ST STE 2Ravenna, OH 44266-2272
Mailing Address149 N Prospect St Ste 2Ravenna, OH 44266-2272 · (234) 243-7480
Organization SubpartNo
Authorized OfficialMohammed Mehdi Abedi SyedOwner · (224) 341-8880
Enumeration DateDecember 16, 2024
Last NPPES UpdateOctober 5, 20252 updates tracked since enumeration
NPPES CertifiedOctober 5, 2025
NPI 1912714601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

149 N PROSPECT ST STE 2, Ravenna, OH 44266

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2329187

Kp Medical Supply LLC · Ravenna, OH
Active · expires Aug 24, 2027
CLIA Number36D2329187
Laboratory TypeIndependent
Certificate Effective DateAugust 25, 2025
Certificate Expiration DateAugust 24, 2027
Laboratory DirectorMohammed Syed
Laboratory Phone(332) 205-8825
Laboratory LocationKp Medical Supply LLC149 N Prospect Ste 2, Ravenna, OH 44266
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kp Medical Supply LLC's NPI number?

The NPI number for Kp Medical Supply LLC is 1912714601. It was assigned to this organization in the NPPES registry on December 16, 2024.

Where is Kp Medical Supply LLC located?

Kp Medical Supply LLC is located at 149 N Prospect St Ste 2, Ravenna, OH 44266. The listed phone number is (234) 243-7480.

What is Kp Medical Supply LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Kp Medical Supply LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2329187) is associated with this NPI, valid through August 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kp Medical Supply LLC was last updated on October 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.