Active NPI
Kma Certified Testing, Inc.
- Health Service Clinic/Center
- Belleville, IL
National Provider Identifier
1003192691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 041192768
- Legal business name
- KMA CERTIFIED TESTING, INC.
- Practice address
- 56 S 65TH St
Suite 1
Belleville, IL 62223-2945 - Phone
- (618) 213-7668
- Fax
- (618) 213-7669
- NPI assigned
- Oct 26, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kathleen Mary Arnold, R.N.
- Title
- President
- Phone
- (618) 213-7668
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 041192768 | IL | Primary |
Addresses
Primary practice location
56 S 65TH St
Suite 1
Belleville, IL 62223-2945
Mailing address
56 S 65TH St
Suite 1
Belleville, IL 62223-2945
Phone (618) 213-7668
National Provider Directory
National Provider DirectoryLocations
56 S 65th St
Ste 1
Belleville, IL 62223
Phone (618) 213-7668
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Belleville, IL
- NPI 1396021069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319587200000",
"number": "1003192691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 S 65TH ST",
"address_2": "SUITE 1",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622232945",
"telephone_number": "618-213-7668",
"fax_number": "618-213-7669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 S 65TH ST",
"address_2": "SUITE 1",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622232945",
"telephone_number": "618-213-7668",
"fax_number": "618-213-7669"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KMA CERTIFIED TESTING, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-26",
"last_updated": "2011-10-26",
"status": "A",
"authorized_official_last_name": "ARNOLD",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_middle_name": "MARY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "618-213-7668",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "R.N."
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "IL",
"license": "041192768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belleville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.