Healthcare Provider Details

I. General information

NPI: 1598690901
Provider Name (Legal Business Name): KMED REVENUE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1516 E TROPICANA AVE STE 105
LAS VEGAS NV
89119-6526
US

IV. Provider business mailing address

1516 E TROPICANA AVE STE 105
LAS VEGAS NV
89119-6526
US

V. Phone/Fax

Practice location:
  • Phone: 725-977-4399
  • Fax: 725-977-4399
Mailing address:
  • Phone: 725-977-4399
  • Fax: 725-977-4399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MOINUDDIN SYED
Title or Position: CEO
Credential:
Phone: 725-977-4399