=====================================================
General NPI Number Information
=====================================================
NPI Number | 1487505228
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | KINEX MEDICAL COMPANY, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/06/2026
-----------------------------------------------------
Last Update Date | 02/06/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5320 W MICHAELS DR STE 201
-----------------------------------------------------
City | APPLETON
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 54913-8446
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 920-365-7424
-----------------------------------------------------
Fax | 920-404-1194
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1801 AIRPORT RD STE D
-----------------------------------------------------
City | WAUKESHA
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 53188-2477
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 800-845-6364
-----------------------------------------------------
Fax | 888-845-3342
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MICHAEL BUCKHOLDT
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 800-845-6364
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------