Organization Active NPI

Kim Kling LMT

  • Health Service Clinic/Center
  • South Daytona, FL
National Provider Identifier
1497179196
Registry record updated Feb 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
MA51014 Issued in FL
Legal business name
KIM KLING LMT
Practice address
2449 S Ridgewood Ave
South Daytona, FL 32119-3077
Phone
(386) 258-2162
NPI assigned
Feb 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2014

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

Authorized official

Name
Ms. Kim Saylon Kling, LMT
Title
Massage Therapy
Phone
(386) 258-2162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X MA51014 FL Primary

Addresses

Primary practice location

2449 S Ridgewood Ave
South Daytona, FL 32119-3077

Mailing address

2449 S Ridgewood Ave
South Daytona, FL 32119-3077
Phone (386) 258-2162

Other identifiers 1

IdentifierTypeStateIssuer
MA51014OtherFLLIC MASSAGE THERAPY

National Provider Directory

National Provider Directory

Locations

2449 S Ridgewood Ave
South Daytona, FL 32119
Phone (386) 258-2162

NPI Registry JSON

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

{
    "created_epoch": "1392422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392422400000",
    "number": "1497179196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2449 S RIDGEWOOD AVE",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321193077",
            "telephone_number": "386-258-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2449 S RIDGEWOOD AVE",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321193077",
            "telephone_number": "386-258-2162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM KLING LMT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-15",
        "last_updated": "2014-02-15",
        "status": "A",
        "authorized_official_last_name": "KLING",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "SAYLON",
        "authorized_official_title_or_position": "MASSAGE THERAPY",
        "authorized_official_telephone_number": "386-258-2162",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "MA51014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC MASSAGE THERAPY",
            "identifier": "MA51014",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Daytona, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2014; 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.