Kymco LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

KYMCO LLC

Practice address

7074 E 5TH Ave
Scottsdale, AZ 85251-3216

Phone

(480) 329-3778

NPI assigned

Jan 12, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Kimberly Waters

Title

Owner

Phone

(480) 429-3778

Specialties & licenses 1

Addresses

Other names 1

• Arizona Wig Boutique Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberely Ann Waters

  • Respiratory/Developmental/Rehabilitative Specialist/Technologist
  • Scottsdale, AZ
  • NPI 1871037036
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1013453117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7074 E. FIFTH AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85251",
            "telephone_number": "480-329-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7074 E 5TH AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513216",
            "telephone_number": "480-329-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYMCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-12",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-429-3778",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona Wig Boutique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Baskin Kwatra, M.D.
• Vinay Kwatra, D.O.
• Amanda Hines Kwilosz, PA-C
• Kenneth Kwilosz III, PA
• Kym Family LLC
• San Michael Kyte, PA-C
• L M Dominguez PC
• L.M. McHenry, DO, PLLC
• La Andres, MD PLLC
• John D La Douceur, PTA

• Prosthetic/Orthotic Supplier in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Prosthetic/Orthotic Supplier in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.