Organization Active NPI

Mkkinetics LLC

  • Health Service Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1801742572
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
MKKINETICS LLC
Practice address
4796 Hodges Blvd Ste 210
Jacksonville, FL 32224-2348
Phone
(904) 510-7930
NPI assigned
Mar 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Authorized official

Name
Dr. Mia M Kennedy, DCNPI 1508935362
Title
Owner
Phone
(904) 510-7930

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

4796 Hodges Blvd Ste 210
Jacksonville, FL 32224-2348

Mailing address

3948 3Rd St S # 124
Jacksonville Beach, FL 32250-5847
Phone (904) 510-7930

National Provider Directory

National Provider Directory

Locations

4796 Hodges Blvd
Ste 210
Jacksonville, FL 32224
Phone (904) 510-7930

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": "1772668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1801742572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3948 3RD ST S # 124",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322505847",
            "telephone_number": "904-510-7930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4796 HODGES BLVD STE 210",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322242348",
            "telephone_number": "904-510-7930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MKKINETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-05",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "MIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-510-7930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.