NPIMap

Organization Active NPI

Kforney

  • Prosthetics Case Management
  • Pine Bluff, AR
National Provider Identifier
1659081776
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
Legal business name
KFORNEY
Practice address
2602 W 42ND Ave
Pine Bluff, AR 71603-6819
Phone
(901) 352-0365
Fax
(901) 234-5805
NPI assigned
Nov 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Authorized official

Name
Kimberly Brown-ForneyNPI 1588374607
Title
Specialist/Owner
Phone
(870) 489-6560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case ManagementGroup: 193200000X MULTI-SPECIALTY GROUP 1744P3200X Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

2602 W 42ND Ave
Pine Bluff, AR 71603-6819

Mailing address

2602 W 42ND Ave
Pine Bluff, AR 71603-6819
Phone (901) 352-0365

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 9012345805

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1659081776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 W 42ND AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036819",
            "telephone_number": "901-352-0365",
            "fax_number": "901-234-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 W 42ND AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036819",
            "telephone_number": "901-352-0365",
            "fax_number": "901-234-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KFORNEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "BROWN-FORNEY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "SPECIALIST/OWNER",
        "authorized_official_telephone_number": "870-489-6560"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "9012345805",
            "affiliation": "N",
            "endpointDescription": "fax",
            "address_1": "2602 W 42nd Ave",
            "city": "Pine Bluff",
            "state": "AR",
            "country_code": "US",
            "postal_code": "716036819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.