MK GLAM RX NPI 1477228906

NPI Information

  • NPI: 1477228906
  • Provider Name: MK GLAM RX
  • Classification: Prosthetic/Orthotic Supplier - 335E00000X
  • Entity Type: Organization
  • Address: 2290 W OREGON AVE # 1026
    PHILADELPHIA, PA
    ZIP 19145
  • Phone: (267) 399-0081

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NPI Details

MK GLAM RX is a prosthetic orthotic supplier in Philadelphia, PA. 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. MK GLAM RX NPI is 1477228906. The provider is registered as an organization entity type.

The provider's business location address is:

2290 W OREGON AVE # 1026
PHILADELPHIA, PA
ZIP 19145-197
Phone: (267) 399-0081

The provider's authorized official is Maeyonni Westbrook .
The authorized official title is Owner and has the following contact phone number (215) 609-2907.

The enumeration date for this NPI number is 8/16/2021 and was last updated on 8/16/2021.

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 SupplierYes

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: 11/21/2025

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