Kimberly B. Kennedy, Inc. in Tyler - Prosthetic/orthotic Supplier
Kimberly B. Kennedy, Inc. - NPI 1275676942
Kimberly B. Kennedy, Inc. is a Prosthetic/orthotic Supplier in Tyler, Texas. Kimberly B. Kennedy, Inc. practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Kimberly B. Kennedy, Inc. is 1275676942. The last update date is 2020-08-22.
Kimberly B. Kennedy, Inc.'s current location address is 1733 Troup Hwy, Tyler, Texas. You can contact this provider via phone number 9035931590 and fax number 9035934689. The mailing address for Kimberly B. Kennedy, Inc. is 1733 Troup Hwy, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kimberly B. Kennedy, Inc. |
|---|---|
| Address | 1733 Troup Hwy, Tyler, Texas |
| Phone Number | 9035931590 |
| Fax Number | 9035934689 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kennedy Kimberly |
| Credentials | CMF |
| Telephone Number | 9035931590 |
NPI Number Detail
| NPI Number | 1275676942 |
|---|---|
| Provider Enumeration Date | 2007-02-14 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1733 Troup Hwy |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757015869 |
| Phone Number | 9035931590 |
| Fax Number | 9035934689 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
|
Definition: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological f |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 530495 | TX | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Kimberly B. Kennedy, Inc.'s 1275676942?
The Kimberly B. Kennedy, Inc.'s NPI (National Provider Identifier) Number is 1275676942. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Kimberly B. Kennedy, Inc. is geographically located?
The Kimberly B. Kennedy, Inc. is physically situated at the following location: 1733 Troup Hwy, Tyler, TX, 757015869.
What is the Kimberly B. Kennedy, Inc.'s specialty and taxonomy code?
The Kimberly B. Kennedy, Inc.'s specialty is Prosthetic/orthotic Supplier, and the corresponding taxonomy code is 335E00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1275676942 to Kimberly B. Kennedy, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1275676942 to Kimberly B. Kennedy, Inc. on 2007-02-14.
As of what date were the details pertaining to Kimberly B. Kennedy, Inc. last refreshed?
The information related to the Kimberly B. Kennedy, Inc., including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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