Organization Active NPI

KJL Prosthesis

  • Prosthetic/Orthotic Supplier
  • Orlando, FL
National Provider Identifier
1932853876
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
KJL PROSTHESIS
Practice address
4530 S Orange Blossom TRL # 594
Orlando, FL 32839-1704
Phone
(321) 444-2110
Fax
(321) 275-3775
NPI assigned
Feb 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Authorized official

Name
Kinny McLaren
Title
Owner
Phone
(321) 444-2110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

4530 S Orange Blossom TRL # 594
Orlando, FL 32839-1704

Mailing address

4530 S Orange Blossom TRL # 594
Orlando, FL 32839-1704
Phone (321) 444-2110

Other names 1

  • KJL Prosthesis Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 3212753775

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1932853876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 S ORANGE BLOSSOM TRL # 594",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328391704",
            "telephone_number": "321-444-2110",
            "fax_number": "321-275-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 S ORANGE BLOSSOM TRL # 594",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328391704",
            "telephone_number": "321-444-2110",
            "fax_number": "321-275-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KJL PROSTHESIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "MCLAREN",
        "authorized_official_first_name": "KINNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-444-2110"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "3212753775",
            "affiliation": "N",
            "endpointDescription": "FAX",
            "address_1": "4530 S Orange Blossom Trl # 594",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328391704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "KJL Prosthesis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.