Organization
KINETIC HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY JOHN MULVIHILL JR. A.T.,C. (PRESIDENT)
(703) 622-9032
Entity
Organization
Contact information
Practice address
1125 WEST STREET, SUITE 304, ANNAPOLIS, MD 21401-4198
(703) 622-9032
(800) 936-3359
Mailing address
1125 WEST STREET, SUITE 304, ANNAPOLIS, MD 21401-4198
(703) 622-9032
(800) 936-3359
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
RT-001446-A
PA
332B00000X
Durable Medical Equipment & Medical Supplies
02171211
MD
332BC3200X
Customized Equipment (DME)
Primary
02171211
MD
Other
Enumeration date
12/12/2006
Last updated
02/11/2025
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