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 BUCKHOLDT (PRESIDENT)
(800) 845-6364
Entity
Organization
Contact information
Practice address
1801 AIRPORT ROAD, SUITE D, WAUKESHA, WI 53188-2477
(800) 845-6364
(888) 845-3342
Mailing address
1801 AIRPORT ROAD, 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
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41626700
—
WI
Enumeration date
06/30/2006
Last updated
07/28/2017
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