KYNETIC HEALTH, PLLC
NPI 1477179372
Family Medicine in Sierra Vista, AZ

Q: What is Kynetic Health, PLLC's NPI number?

The NPI number for Kynetic Health, PLLC is 1477179372. It was assigned to this organization in the NPPES registry on June 17, 2020.

Q: What is Kynetic Health, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 17, 2020

3533 CANYON DE FLORES STE A, SIERRA VISTA, AZ 85650(520) 685-3336(520) 685-3846 Get Directions Write a Review

NPPES record last updated: September 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 29, 2021, Jan 25, 2021, Aug 21, 2020 and 1 more (4 updates tracked since 2020).

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About Kynetic Health, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYNETIC HEALTH, PLLC (NPI 1477179372) is a healthcare organization registered as a family medicine in Sierra Vista, Arizona and active in the NPI registry since June 2020. The organization lists Ann Lebeck, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1477179372

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameKYNETIC HEALTH, PLLC

Location Address3533 CANYON DE FLORES STE ASierra Vista, AZ 85650-5366

Mailing Address3533 Canyon De Flores Ste ASierra Vista, AZ 85650-5366 · (520) 231-1050

Phone(520) 685-3336

Fax(520) 685-3846

Organization SubpartNo

Authorized OfficialAnn LebeckOwner/president · (808) 321-0567

Enumeration DateJune 17, 2020

Last NPPES UpdateSeptember 29, 20214 updates tracked since enumeration

NPPES CertifiedSeptember 29, 2021

✔ NPI 1477179372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3533 CANYON DE FLORES STE A, Sierra Vista, AZ 85650

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2188575

Kynetic Health, PLLC · Sierra Vista, AZ

Expired · Jul 19, 2026

CLIA Number03D2188575

Laboratory TypePhysician Office

Certificate Effective DateJuly 20, 2024

Certificate Expiration DateJuly 19, 2026

Laboratory DirectorAnn B. Lebeck

Laboratory Phone(520) 231-1050

Laboratory LocationKynetic Health, PLLC3533 Canyon De Flores, Suite A, Sierra Vista, AZ 85650

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. FRANKLIN TERRY PERKINS III M.D.

Family Medicine (Sports Medicine)