| NPI | 1518448638 |
|---|---|
| Other Name | KORMYLO ORTHOPEDIC |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE WALKER MCDONALD Owner 208-985-5190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 224P00000X Prosthetist |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2023-10-19 |