Organization
KINETIC MUSCLES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES BRYANT KOENEMAN PH.D. (CHIEF SCIENCE OFFICER)
(480) 557-0448
Entity
Organization
Contact information
Practice address
1800 W BROADWAY RD, SUITE #3, TEMPE, AZ 85282-1023
(480) 557-0448
(480) 557-0449
Mailing address
1800 W BROADWAY RD, SUITE #3, TEMPE, AZ 85282-1023
(480) 557-0448
(480) 557-0449
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
07659863-N
AZ
332BC3200X
Customized Equipment (DME)
07659863-N
AZ
Other
Enumeration date
05/27/2006
Last updated
02/29/2012
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