Organization Active NPI

Kenney Orthopedic, LLC

  • Prosthetic/Orthotic Supplier
  • Somerset, KY
National Provider Identifier
1669150496
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
KENNEY ORTHOPEDIC, LLC
Practice address
117 Tradepark Dr Ste a
Somerset, KY 42503-3428
Phone
(859) 241-1015
NPI assigned
Jul 11, 2023
Organization subpart
Yes
Parent organization
HANGER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Authorized official

Name
Grace Angeline
Title
Provider Contract Analyst III
Phone
(714) 961-2102

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

117 Tradepark Dr Ste a
Somerset, KY 42503-3428

Mailing address

PO Box 650846
Dallas, TX 75265-0846

National Provider Directory

National Provider Directory
Tax ID family
Kenney Orthopedic LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

449 Lewis Hargett Cir
Ste 110
Lexington, KY 40503
Phone (859) 373-0208

117 Tradepark Dr
Somerset, KY 42503
Phone (606) 678-5708

117 Tradepark Dr
Ste A
Somerset, KY 42503
Phone (606) 451-8678

NPI Registry JSON

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1669150496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650846",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 TRADEPARK DR STE A",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425033428",
            "telephone_number": "859-241-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEY ORTHOPEDIC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HANGER INC",
        "enumeration_date": "2023-07-11",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "ANGELINE",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "PROVIDER CONTRACT ANALYST III",
        "authorized_official_telephone_number": "714-961-2102"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.