Kinetic, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1312880 Issued in FL

Legal business name

KINETIC, INC.

Practice address

4362 Northlake Blvd
Suite #202
Palm Beach Gardens, FL 33410-6275

Phone

(561) 630-4404

Fax

(561) 630-4373

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. H Wayne Sr.

Title

President

Phone

(561) 630-4404

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224806400000",
    "number": "1033290291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4362 NORTHLAKE BLVD",
            "address_2": "SUITE 202",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106275",
            "telephone_number": "561-630-4404",
            "fax_number": "561-630-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4362 NORTHLAKE BLVD",
            "address_2": "SUITE #202",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106275",
            "telephone_number": "561-630-4404",
            "fax_number": "561-630-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-10-24",
        "status": "A",
        "authorized_official_last_name": "WAYNE",
        "authorized_official_first_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-630-4404",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1312880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; 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.