Healthcare Provider Details

I. General information

NPI: 1417810078
Provider Name (Legal Business Name): KINETEC USA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

N174W21475 ALCAN DR
JACKSON WI
53037-8611
US

IV. Provider business mailing address

N174W21475 ALCAN DR
JACKSON WI
53037-8611
US

V. Phone/Fax

Practice location:
  • Phone: 262-677-1248
  • Fax: 262-677-1314
Mailing address:
  • Phone: 262-677-1248
  • Fax: 262-677-1314

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: JENNIFER OKON
Title or Position: CUSTOMER SERVICE MANAGER
Credential: CUSTOMER SERVICE
Phone: 262-677-1248