NPIMap

Organization Active NPI

Kinex Medical Company, LLC

  • Durable Medical Equipment & Medical Supplies
  • Green Bay, WI
National Provider Identifier
1528830023
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KINEX MEDICAL COMPANY, LLC
Practice address
1110 Kepler Dr Ste 401
Green Bay, WI 54311-8307
Phone
(920) 264-0060
NPI assigned
Oct 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Authorized official

Name
Michael Buckholdt
Title
President
Phone
(414) 861-7356

Specialties & licenses 1

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

Addresses

Primary practice location

1110 Kepler Dr Ste 401
Green Bay, WI 54311-8307

Mailing address

1801 Airport Rd Ste D
Waukesha, WI 53188-2477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240926002805 WI DME Supplier - Medical Supply Company 9032321492 Practice locations: Green Bay, WI

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Kinex Medical Company20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Locations

5959 Shallowford Rd
Ste 531
Chattanooga, TN 37421
Phone (423) 321-8942

5959 Shallowford Rd
Ste 521
Chattanooga, TN 37421
Phone (423) 321-8942

17145 W Bluemound Rd
Brookfield, WI 53005
Phone (262) 754-3939

1110 Kepler Dr
Ste 401
Green Bay, WI 54311
Phone (920) 264-0060

N16W24131 Riverwood Dr
Rm 1140
Waukesha, WI 53188
Phone (262) 754-3939

NPI Registry JSON

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

{
    "created_epoch": "1698364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1528830023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 AIRPORT RD STE D",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531882477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 KEPLER DR STE 401",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543118307",
            "telephone_number": "920-264-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINEX MEDICAL COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-27",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "BUCKHOLDT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-861-7356"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.