| NPI | 1447523303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY M KITCHENS VP 941-705-0046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224900000X Mastectomy Fitter |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2012-07-09 |