KIDDER ORTHOPEDIC LABORATORIES INC NPI 1376542993

NPI Information

  • NPI: 1376542993
  • Provider Name: KIDDER ORTHOPEDIC LABORATORIES INC
  • Classification: Prosthetic/Orthotic Supplier - 335E00000X
  • Entity Type: Organization
  • Address: 5676 W GULF TO LAKE HWY
    CRYSTAL RIVER, FL
    ZIP 34429
  • Phone: (352) 795-5556

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NPI Details

KIDDER ORTHOPEDIC LABORATORIES INC is a prosthetic orthotic supplier in Crystal River, FL. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. KIDDER ORTHOPEDIC LABORATORIES INC NPI is 1376542993. The provider is registered as an organization entity type.

The provider's business location address is:

5676 W GULF TO LAKE HWY
CRYSTAL RIVER, FL
ZIP 34429-555
Phone: (352) 795-5556
Fax: (352) 795-5218

The provider's authorized official is John E Messer .
The authorized official title is Owner and has the following contact phone number (352) 795-5556.

The enumeration date for this NPI number is 7/15/2005 and was last updated on 12/27/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335E00000XProsthetic/Orthotic SupplierPOR20FLORIDANo
2335E00000XProsthetic/Orthotic SupplierPOR193FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1M2080OTHERBCBS
20389520001MEDICARE NSC
3950296300MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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