| NPI | 1710363486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L KENNEY Prosthetist 417-343-6162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: AR CP2198) |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2020-12-30 |