# BIO-KINETIC CLINICAL APPLICATIONS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780260950
- **Authorized official:** EMILY BUCKTHORPE (DIRECTOR OF COMPLIANCE)
- **Authorized official phone:** (417) 893-6118

## Contact information

- **Practice address:** 1820 W MOUNT VERNON ST, SPRINGFIELD, MO 65802-4842
- **Practice address phone:** (417) 831-2048
- **Practice address fax:** (417) 831-0715
- **Mailing address:** 1820 W MOUNT VERNON ST, SPRINGFIELD, MO 65802-4842
- **Mailing address phone:** (417) 831-2048
- **Mailing address fax:** (417) 831-0715

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/19/2021
- **Last updated:** 03/22/2021