Organization Active NPI

The Body Vault

  • Clinic/Center
  • Louisville, KY
National Provider Identifier
1164337002
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
THE BODY VAULT
Practice address
3423 Stony Spring Cir
Louisville, KY 40220-5437
Phone
(502) 224-3360
NPI assigned
Aug 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Authorized official

Name
Mi'Auna Kin
Title
Manager
Phone
(502) 712-7443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3423 Stony Spring Cir
Louisville, KY 40220-5437

Mailing address

3423 Stony Spring Cir
Louisville, KY 40220-5437

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1786924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1164337002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3423 STONY SPRING CIR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402205437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3423 STONY SPRING CIR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402205437",
            "telephone_number": "502-224-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BODY VAULT",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-17",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-16",
        "status": "A",
        "authorized_official_last_name": "KIN",
        "authorized_official_first_name": "MI'AUNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "502-712-7443"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.