Kinetic Prosthetics & Medical Supply

LBN: Kinetic Prosthetics & Medical Supply
Kinetic Prosthetics & Medical Supply is an health care organization with primary practice located at 3595 Hiram Douglasville Hwy Ste 102 , Hiram GA 30141-4963. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Customized Equipment, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is the primary health care specialty. Kinetic Prosthetics & Medical Supply can be contacted via phone (678) 653-8370, or through Cameron, Martina via phone (770) 756-7073.

Contact Information

Primary practice address
3595 Hiram Douglasville Hwy Ste 102 Hiram GA 30141-4963
Phone: (678) 653-8370
Fax: (404) 492-8885
Website:
Map and Directions
Authorized official contact:
Name: Cameron, Martina
Phone: (770) 756-7073

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1285254656
LBN Legal business name Kinetic Prosthetics & Medical Supply
DBA Doing business as
Authorized official Cameron, Martina
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2020
Last updated Jun 12th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285254656 NPPES
Georgia Other 7812720001 DMEPOS

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