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Kinetic Health and Performance

NPI 1750929220ActiveOrganization· Clinic/Center· Fairview Heights, IL

Clinic/Center in Fairview Heights, Illinois, registered in NPPES in December 2019. The authorized official on file is Kyle Brunsmann, LMT, MSR, Sports Therapist / Functional Rehab.

Overview

NPI1750929220
StatusActive
Entity typeOrganization
NPI issuedDec 16, 2019
Last updated in NPPESMay 15, 2020
Certified by providerMay 15, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Clinic/Center Primary261Q00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Clinic/Center providers in Fairview Heights

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