Organization Active NPI

Kma Medical Aesthetics LLC

  • Certified Registered Nurse Anesthetist
  • Prescott, AZ
National Provider Identifier
1386507804
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
KMA MEDICAL AESTHETICS LLC
Practice address
1955 Commerce Center Cir Ste C
Prescott, AZ 86301-7410
Phone
(928) 929-2142
NPI assigned
Dec 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Authorized official

Name
Mrs. Kathleen Arnold, CRNA, APRNNPI 1598384505
Title
Owner
Phone
(909) 659-5025

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

1955 Commerce Center Cir Ste C
Prescott, AZ 86301-7410

Mailing address

13215 N Trail Blazer Dr
Prescott, AZ 86305-7964
Phone (909) 659-5025

Other names 1

  • Knockout Medical Aesthetics Doing business as

National Provider Directory

National Provider Directory

Locations

1955 Commerce Center Cir
Ste C
Prescott, AZ 86301
Phone (928) 929-2142

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1764720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1386507804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13215 N TRAIL BLAZER DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057964",
            "telephone_number": "909-659-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 COMMERCE CENTER CIR STE C",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863017410",
            "telephone_number": "928-929-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMA MEDICAL AESTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-03",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-659-5025",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNA, APRN"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Knockout Medical Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.