Healthcare Provider Details

I. General information

NPI: 1386563104
Provider Name (Legal Business Name): KMR AND ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 N STARLING CT
GILBERT AZ
85234-7645
US

IV. Provider business mailing address

420 N STARLING CT
GILBERT AZ
85234-7645
US

V. Phone/Fax

Practice location:
  • Phone: 719-244-4235
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JULIA MARIAH RUNKLE
Title or Position: CHIEF OPERATING OFFICER
Credential: MS OTR/L
Phone: 719-244-4235