Kinetic Connections, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

AP00943540 Issued in WV

Legal business name

KINETIC CONNECTIONS, LLC

Practice address

16741 Seneca TRL
Marlinton, WV 24954-7002

Phone

(304) 799-4343

Fax

(304) 799-4444

NPI assigned

Sep 20, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Davina R Agee, LSW

Title

Owner

Phone

(304) 940-0085

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1379635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379635200000",
    "number": "1548696644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6",
            "city": "MARLINTON",
            "state": "WV",
            "postal_code": "249540006",
            "telephone_number": "304-799-4343",
            "fax_number": "304-799-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16741 SENECA TRL",
            "city": "MARLINTON",
            "state": "WV",
            "postal_code": "249547002",
            "telephone_number": "304-799-4343",
            "fax_number": "304-799-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIC CONNECTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-20",
        "last_updated": "2013-09-20",
        "status": "A",
        "authorized_official_last_name": "AGEE",
        "authorized_official_first_name": "DAVINA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-940-0085",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WV",
            "license": "AP00943540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mya Hippert
• Angela C Hoffman, MA
• John C Sharp PHD.,D.O
• Amy Kelley, PHARMD
• Penny Kershner
• Kayla Nicole Lester, PA-C
• Alisha Dawn Lewis
• Julie D. Leyzorek Hare, MD
• Life Guard Inc.
• Matthew D Long

• Community/Behavioral Health Agency in Marlinton, WV
• Providers in Marlinton, WV by specialty
• Community/Behavioral Health Agency in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; 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.