Organization Active NPI

Kynetic Resource Management

  • Durable Medical Equipment & Medical Supplies
  • Mobile, AL
National Provider Identifier
1528434701
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KYNETIC RESOURCE MANAGEMENT
Practice address
1125 N Corporate Dr
Ste 203a
Mobile, AL 36607-1102
Phone
(951) 768-0999
NPI assigned
Aug 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Authorized official

Name
Brett Dillon Decker
Title
President
Phone
(951) 768-0999

Specialties & licenses 1

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

Addresses

Primary practice location

1125 N Corporate Dr
Ste 203a
Mobile, AL 36607-1102

Mailing address

1125 N Corporate Dr
Ste 203a
Mobile, AL 36607-1102

Other names 1

  • Ozomor Medical Doing business as

National Provider Directory

National Provider Directory

Locations

1125 N Corporate Dr
Ste 203A
Mobile, AL 36607
Phone (951) 768-0999

NPI Registry JSON

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1528434701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 N CORPORATE DR",
            "address_2": "STE 203A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366071102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 N CORPORATE DR",
            "address_2": "STE 203A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366071102",
            "telephone_number": "951-768-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYNETIC RESOURCE MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "DILLON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-768-0999"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ozomor Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.