MEDICARE: BIOKINETICS, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1275539967
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIOKINETICS, INC

Provider Business Mailing Address
First Line	:	2345 NEW HOLT RD
Second Line	:
City	:	PADUCAH
State	:	KY
Zip	:	42001-7404
Country	:	US
Telephone Number	:	270-554-0378
Fax Number	:	270-554-3040

Provider Business Practice Location Address
First Line	:	2345 NEW HOLT RD
Second Line	:
City	:	PADUCAH
State	:	KY
Zip	:	42001-7404
Country	:	US
Telephone Number	:	270-554-0378
Fax Number	:	270-554-3040

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. DEBBIE MC DONALD
Credential	:
Telephone Number	:	270-554-0378

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	08/22/2020

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