Provider Demographics
NPI:1528184470
Name:BIOKINETICS, INC
Entity Type:Organization
Organization Name:BIOKINETICS, INC
Other - Org Name:BIOKINETICS, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-554-0378
Mailing Address - Street 1:2345 NEW HOLT RD
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42001-7404
Mailing Address - Country:US
Mailing Address - Phone:270-554-0378
Mailing Address - Fax:270-554-3040
Practice Address - Street 1:1665 OAK PARK BLVD
Practice Address - Street 2:
Practice Address - City:CALVERT CITY
Practice Address - State:KY
Practice Address - Zip Code:42029
Practice Address - Country:US
Practice Address - Phone:270-395-5588
Practice Address - Fax:270-395-5887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY8693Medicare ID - Type Unspecified