Kinetic Muscles, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

07659863-N Issued in AZ

Legal business name

KINETIC MUSCLES, INC.

Practice address

1800 W Broadway Rd
Suite #3
Tempe, AZ 85282-1023

Phone

(480) 557-0448

Fax

(480) 557-0449

NPI assigned

May 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. James Bryant Koeneman, PH.D.

Title

Chief Science Officer

Phone

(480) 557-0448

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1205883246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W BROADWAY RD",
            "address_2": "SUITE #3",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821023",
            "telephone_number": "480-557-0448",
            "fax_number": "480-557-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W BROADWAY RD",
            "address_2": "SUITE #3",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821023",
            "telephone_number": "480-557-0448",
            "fax_number": "480-557-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIC MUSCLES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "KOENEMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "BRYANT",
        "authorized_official_title_or_position": "CHIEF SCIENCE OFFICER",
        "authorized_official_telephone_number": "480-557-0448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "07659863-N",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "AZ",
            "license": "07659863-N",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Durable Medical Equipment & Medical Supplies in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.