| NPI | 1851029953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEY FRANKLIN Cranial Prosthesis (Medical Wig) 662-207-5502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2022-08-08 |