| NPI | 1235940693 |
|---|---|
| Other Name | ZACQULYNN KINNEY |
| Entity Type | Organization |
| Authorized Contact | ZACQULYNN KINNEY Member/Owner 318-840-6381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2025-01-15 |
| Last Update Date | 2025-01-15 |