Kma Diagnostic Specialties

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

KMA DIAGNOSTIC SPECIALTIES

Practice address

334 W Main St
Lewisville, TX 75057-3866

Phone

(972) 353-3200

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Tara Campbell Mauney

Title

Director

Phone

(214) 382-1909

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104934165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 N CENTRAL EXPY",
            "address_2": "SUITE 205",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752318600",
            "telephone_number": "214-382-1909",
            "fax_number": "214-382-1903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 W MAIN ST",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573866",
            "telephone_number": "972-353-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMA DIAGNOSTIC SPECIALTIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAUNEY",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "CAMPBELL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "214-382-1909"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Kitney, MA, LPC
• Autumn Kizer
• Diane Ellen Kizziar, LPC
• Jimi Mark Klementi, R.PH
• Kurt Klobassa, DPT
• Laney Elizabeth Knowlton, LMFT
• Rebecca Koehl
• Kold With It Crowning LLC
• Lowell B Koppel, MD
• Korbanot Corporation

• Physiological Laboratory in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Physiological Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.