Kinetix Medical Equipment, LLC
Organization Active NPI Durable Medical Equipment & Medical Supplies · Rolling Fork, MS
NPI 1972845634 · NPPES record last updated Mar 20, 2013
Key facts
- NPI
- 1972845634
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- KINETIX MEDICAL EQUIPMENT, LLC
- Practice address
- 21 S Fourth St
Rolling Fork, MS 39159-5146 - Phone
- (662) 873-9222
- Fax
- (662) 873-9221
- NPI assigned
- Mar 20, 2013
- Organization subpart
- No
Authorized official
- Name
- Mr. John C Sudduth
- Title
- Ceo
- Phone
- (662) 207-2711
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
21 S Fourth St
Rolling Fork, MS 39159-5146
Mailing address
PO Box 520
Rolling Fork, MS 39159-0520
Phone (662) 873-9222
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00440262 | Medicaid | MS |
Other providers in Rolling Fork, MS
- Andrew George
- Jackson Rural Health Clinic P a
- Miriam Denise Jackson-Hamilton
- Danny Wade Jackson
- Patsy Johnson
- Olivia Gayle King
- Mended Hearts Counseling Services, LLC
- Mississippi Christian Family Services Inc
- Mississippi Christian Family Services Inc.
- Mississippi State Department of Health
All providers in Rolling Fork, MS · Durable Medical Equipment & Medical Supplies in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.