Active NPI
KMC Inc
- General Practice Physician
- Taylor, MI
National Provider Identifier
1407003965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- KMC INC
- Practice address
- 24455 Goddard Rd
Taylor, MI 48180-3933 - Phone
- (734) 946-8186
- Fax
- (734) 946-4849
- NPI assigned
- Aug 26, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kimberly Knapp
- Title
- Manager
- Phone
- (734) 946-8186
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
24455 Goddard Rd
Taylor, MI 48180-3933
Mailing address
24455 Goddard Rd
Taylor, MI 48180-3933
Phone (734) 946-8186
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110H240910 | Other | MI | BCBSM PIN |
| 1158218090 | Other | MI | BCBSM |
| DK002533 | Other | MI | BCBSM LICENSE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219708800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236556800000",
"number": "1407003965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24455 GODDARD RD",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481803933",
"telephone_number": "734-946-8186",
"fax_number": "734-946-4849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24455 GODDARD RD",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481803933",
"telephone_number": "734-946-8186",
"fax_number": "734-946-4849"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KMC INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-26",
"last_updated": "2009-03-09",
"status": "A",
"authorized_official_last_name": "KNAPP",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "734-946-8186",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM PIN",
"identifier": "110H240910",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "1158218090",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM LICENSE",
"identifier": "DK002533",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Taylor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.