Kneewell LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KNEEWELL LLC

Practice address

4175 Arbor LN
Eagan, MN 55122-2869

Phone

(612) 213-2879

Fax

(612) 254-8245

NPI assigned

Jan 18, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Kerry Gilderman

Title

Manager

Phone

(612) 213-2879

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547769600000",
    "number": "1861966202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4175 ARBOR LN",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222869",
            "telephone_number": "612-213-2879",
            "fax_number": "612-254-8245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4175 ARBOR LN",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222869",
            "telephone_number": "612-213-2879",
            "fax_number": "612-254-8245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNEEWELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-18",
        "last_updated": "2019-01-18",
        "status": "A",
        "authorized_official_last_name": "GILDERMAN",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "612-213-2879",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF REVENUE",
            "identifier": "4786380",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Kizilos, MD
• McKenna Marie Klein, RBT
• Erin Kleiner
• Mikhail Anthony Klimstra, MD
• Bronwyn Lissa Knaebe, RD
• Denise Renee Kniefel, O.D.
• Michelle L Knight, MD
• Dave Kocer, MPT
• Jessica Koehler
• Peter William Kohlsaat, DDS

• Durable Medical Equipment & Medical Supplies in Eagan, MN
• Providers in Eagan, MN by specialty
• Durable Medical Equipment & Medical Supplies in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.