Organization Active NPI

KMC Inc

  • General Practice Physician
  • Taylor, MI
National Provider Identifier
1407003965
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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

Updated by the provider on Mar 9, 2009

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
110H240910OtherMIBCBSM PIN
1158218090OtherMIBCBSM
DK002533OtherMIBCBSM LICENSE

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.