NPI Code Detail JSON Logo

1871390047 NPI number — KINLI MEDICAL LLC

NPI Number: 1871390047
Health Care Provider/Practitioner: KINLI MEDICAL LLC

Information about “1871390047” NPI (KINLI MEDICAL LLC) exists in 1871390047 in HTML format HTML  |  1871390047 in plain Text format TXT  |  1871390047 in PDF (Portable Document Format) PDF  |  1871390047 in an XML format XML  formats.

NPI Number : 1871390047 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1871390047",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "KINLI MEDICAL LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2578 W 600 N STE 201",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LINDON",
    "MailingAddressStateName": "UT",
    "MailingAddressPostalCode": "84042-1260",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "917-444-6849",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2578 W 600 N STE 201",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LINDON",
    "PracticeLocationAddressStateName": "UT",
    "PracticeLocationAddressPostalCode": "84042-1260",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "917-444-6849",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/26/2025",
    "LastUpdateDate": "02/26/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ARORA",
    "AuthorizedOfficialFirstName": "SIDDHARTHA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRACTICE MANAGER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "917-444-6849",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "NULL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP2300X",
          "TaxonomyName": "Primary Care Nurse Practitioner",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "NULL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "NULL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163WC0400X",
          "TaxonomyName": "Case Management Registered Nurse",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "NULL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207Q00000X",
          "TaxonomyName": "Family Medicine Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "NULL",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "NULL",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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