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Kv Medical LLC.

Community/Retail Pharmacy in Newport, TN · enumerated 2019 · authorized official Justin Kickliter, Pic.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073086807

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Registry record

Entity type Organization (Type 2)
Legal business name Kv Medical LLC.
Other name <Unavail>
Practice address 136 E. Broadway, Newport, TN, 37821
Phone (423) 720-9777
Fax (423) 720-9778
Enumeration date Jan 4, 2019
Last updated in NPPES Jul 8, 2024

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers Primary
3336C0004X Compounding Pharmacy Suppliers Secondary
3336M0002X Mail Order Pharmacy Suppliers Secondary

Authorized official

Name Justin Kickliter
Title Pic
Phone (423) 720-9777

Other identifiers

Identifier Type State Issuer
Q046150 Medicaid TN -
6866 Other TN BROADWAY & MAIN LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Kv Medical LLC.?
NPPES lists Justin Kickliter (Pic) as the authorized official for this organization.
What is the NPI number for Kv Medical LLC.?
The NPI for Kv Medical LLC. is 1073086807, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-07-08.