Organization Active NPI

Kinetic Health Management Solutions, LLC

  • Durable Medical Equipment & Medical Supplies
  • Detroit, MI
National Provider Identifier
1225137151
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KINETIC HEALTH MANAGEMENT SOLUTIONS, LLC
Practice address
12001 Camden St
Detroit, MI 48213-1754
Phone
(313) 839-3589
Fax
(313) 839-3589
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Authorized official

Name
Ms. Khalil T Ligon
Title
Ceo
Phone
(313) 839-3589

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X MI Primary

Addresses

Primary practice location

12001 Camden St
Detroit, MI 48213-1754

Mailing address

12001 Camden St
Detroit, MI 48213-1754
Phone (313) 839-3589

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1225137151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12001 CAMDEN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482131754",
            "telephone_number": "313-839-3589",
            "fax_number": "313-839-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12001 CAMDEN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482131754",
            "telephone_number": "313-839-3589",
            "fax_number": "313-839-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIC HEALTH MANAGEMENT SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "LIGON",
        "authorized_official_first_name": "KHALIL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-839-3589",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.