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MEDICAL WIGS BY KIMBERLY NPI 1619561073


NPI Information

NPI: 1619561073
Provider Name: MEDICAL WIGS BY KIMBERLY
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
1303 LINE AVE STE 300
SHREVEPORT, LA
ZIP 71101
Phone: (318) 453-3693
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MEDICAL WIGS BY KIMBERLY is a prosthetic orthotic supplier in Shreveport, LA. 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. MEDICAL WIGS BY KIMBERLY NPI is 1619561073. The provider is registered as an organization entity type.

The provider's business location address is:

1303 LINE AVE STE 300
SHREVEPORT, LA
ZIP 71101-628
Phone: (318) 453-3693

The provider's authorized official is Kimberly Bryant .
The authorized official title is Owner and has the following contact phone number (318) 453-3693.

The enumeration date for this NPI number is 2/25/2021 and was last updated on 2/25/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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: 4/28/2024

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