Provider Demographics
NPI:1962526095
Name:KIGHT'S MEDICAL CORP
Entity type:Organization
Organization Name:KIGHT'S MEDICAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO AND PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:KIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:919-878-6666
Mailing Address - Street 1:201 KITTY HAWK DR
Mailing Address - Street 2:STE. 95
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-7659
Mailing Address - Country:US
Mailing Address - Phone:919-878-6666
Mailing Address - Fax:919-878-4411
Practice Address - Street 1:2104 CAPITAL DR
Practice Address - Street 2:STE. 109
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28405-6486
Practice Address - Country:US
Practice Address - Phone:800-445-3022
Practice Address - Fax:910-395-5951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2011-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC01023332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0464TOtherBCBS OF NC
NC15527OtherWELLPATH
NC7704737Medicaid
NC0303780332OtherDEPT. OF LABOR
NC0709670005Medicare NSC