Healthcare Provider Details

I. General information

NPI: 1154452316
Provider Name (Legal Business Name): KINEX MEDICAL COMPANY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7100 S SANTA ROSA CT
SIOUX FALLS SD
57108-8535
US

IV. Provider business mailing address

1801 AIRPORT RD STE D
WAUKESHA WI
53188-2477
US

V. Phone/Fax

Practice location:
  • Phone: 800-845-6364
  • Fax: 888-845-3342
Mailing address:
  • Phone: 800-845-6364
  • Fax: 888-845-3342

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL BUCKHOLDT
Title or Position: PRESIDENT
Credential:
Phone: 414-861-7356