Organization
KINEX MEDICAL COMPANY, LLC
Active
Parent organization
KINEX MEDICAL COMPANY, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KINEX MEDICAL COMPANY, LLC
Authorized official
MICHAEL A. BUCKHOLDT (PRESIDENT)
(800) 845-6364
Entity
Organization
Contact information
Practice address
911 SEARCY WAY UNIT 3091, BOWLING GREEN, KY 42103-7163
(800) 845-6364
Mailing address
1801 AIRPORT RD, SUITE D, WAUKESHA, WI 53188-2477
(800) 845-6364
(888) 845-3342
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
HME00835
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1534334
—
TN
01
—
7139150001
MEDICARE PTAN
—
Enumeration date
04/27/2015
Last updated
03/07/2018
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