KC MEDICAL SUPPLIES
NPI 1962512087
Durable Medical Equipment & Medical Supplies in Longview, TX

Q: What is Kc Medical Supplies's NPI number?

The NPI number for Kc Medical Supplies is 1962512087. It was assigned to this organization in the NPPES registry on August 30, 2006.

Q: What is Kc Medical Supplies's specialty?

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

Active since August 30, 2006

1605 JUDSON RD, SUITE D, LONGVIEW, TX 75601(903) 234-0700(903) 234-0701 Get Directions Write a Review

NPPES record last updated: July 3, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kc Medical Supplies NPPES

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

KC MEDICAL SUPPLIES (NPI 1962512087) is a healthcare organization registered as a durable medical equipment & medical supplies in Longview, Texas and active in the NPI registry since August 2006. The organization lists Sheena Renne Shelton, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1962512087

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameKC MEDICAL SUPPLIES

Location Address1605 JUDSON RD, SUITE DLongview, TX 75601-3662

Mailing Address1605 Judson Rd, Suite DLongview, TX 75601-3662 · (903) 234-0700 · Fax (903) 234-0701

Phone(903) 234-0700

Fax(903) 234-0701

Organization SubpartNo

Authorized OfficialSheena Renne SheltonChief Executive Officer · (903) 234-0700

Enumeration DateAugust 30, 2006

Last NPPES UpdateJuly 3, 2008

✔ NPI 1962512087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

License✔ Licensed in TX · 0068887

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.

1605 JUDSON RD, Longview, TX 75601

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Other Identifiers 4

Medicare ID-Type Unspecified4777680001TX

Medicaid162672301TX

Other162672302TX · Medicaid

Medicaid1647179LA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SJ HOME CARE

Technician (Personal Care Attendant)

1605 JUDSON RD, SUITE B-F
LONGVIEW, TX 75601

Gregg County (903) 215-8183

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 Kc Medical Supplies's NPI number?

The NPI number for Kc Medical Supplies is 1962512087. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Kc Medical Supplies located?

Kc Medical Supplies is located at 1605 Judson Rd Suite D, Longview, TX 75601. The listed phone number is (903) 234-0700.

What is Kc Medical Supplies's specialty?

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

When was this NPI record last updated?

The NPPES record for Kc Medical Supplies was last updated on July 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.