Provider Demographics
NPI:1851087746
Name:ADVANCED JOINT KINETICS LLC
Entity Type:Organization
Organization Name:ADVANCED JOINT KINETICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:KERCHER
Authorized Official - Suffix:
Authorized Official - Credentials:LP BOCP
Authorized Official - Phone:937-623-2357
Mailing Address - Street 1:92 STABLETON WAY
Mailing Address - Street 2:
Mailing Address - City:SPRINGBORO
Mailing Address - State:OH
Mailing Address - Zip Code:45066-7501
Mailing Address - Country:US
Mailing Address - Phone:937-623-2357
Mailing Address - Fax:877-792-0198
Practice Address - Street 1:92 STABLETON WAY
Practice Address - Street 2:
Practice Address - City:SPRINGBORO
Practice Address - State:OH
Practice Address - Zip Code:45066-7501
Practice Address - Country:US
Practice Address - Phone:937-623-2357
Practice Address - Fax:877-792-0198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-13
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies