Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kinetic Prosthetics & Medical Supply

Organization Customized Equipment (DME) · NPI 1285254656

Kinetic Prosthetics & Medical Supply is a Customized Equipment (DME) in Hiram, Georgia. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2

Practice location Address checks out

3595 Hiram Douglasville Hwy Ste 102
Hiram, GA 30141-4963
Phone: (678) 653-8370
Fax: (404) 492-8885
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X
Customized Equipment (DME) Taxonomy 332BC3200X

Record details

NPI number1285254656
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Martina Cameron — Ceo · (770) 756-7073
NPI enumeratedApril 25, 2020
Last updated in NPPESJune 12, 2020
Certification dateJune 12, 2020
Mailing address3595 Hiram Douglasville Hwy Ste 102, Hiram, GA 30141-4963

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