Kmthree LLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

KMTHREE LLC

Practice address

12409 W Indian School Rd Ste B210
Avondale, AZ 85392-9505

Phone

(602) 677-0187

NPI assigned

Mar 5, 2020

Organization subpart

No

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

Authorized official

Name

Kristy Morgan, DC

Title

Owner

Phone

(602) 677-0187

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1871128231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11180",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852840020",
            "telephone_number": "602-677-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12409 W INDIAN SCHOOL RD STE B210",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853929505",
            "telephone_number": "602-677-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMTHREE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-05",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-677-0187",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erik Kirakosyan, PHARMD
• Rebecca Jane Kise
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• Khrysten Klippert
• KM Healthcare LLC
• Courtney Danielle Knight, LCSW
• Austin Knips
• Ciera Knox
• Tracy Kosednar, R.N.
• Kowasic Enterprises Incorporated

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.