Kinetic Image Corp

LBN: Kinetic Image Corp
Kinetic Image Corp is an health care organization with primary practice located at 1307 Whispering Pines Rd , Saint Johns FL 32259-9186. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Kinetic Image Corp can be contacted via phone (904) 635-4638, or through Ingram-Mitchell, Kelly via phone (904) 635-4638.

Contact Information

Primary practice address
1307 Whispering Pines Rd Saint Johns FL 32259-9186
Phone: (904) 635-4638
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ingram-Mitchell, Kelly Master of Physical Therapy (MPT)
Phone: (904) 635-4638

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X

Profile Details

NPI number 1205251915
LBN Legal business name Kinetic Image Corp
DBA Doing business as
Authorized official Ingram-Mitchell, Kelly Master of Physical Therapy (MPT)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 4th, 2014
Last updated Mar 4th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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