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Kimberly B. Kennedy, Inc.
Prosthetic/Orthotic Supplier in Tyler, Texas
NPI 1275676942

Kimberly B. Kennedy, Inc. is a Prosthetic/Orthotic Supplier based in Tyler, TX. Kimberly B. Kennedy, Inc. practices in Tyler, TX. The NPI Number for Kimberly B. Kennedy, Inc. is 1275676942 and holds a License No. (Texas).

The current practice location address for Kimberly B. Kennedy, Inc. is 1733 Troup Hwy, Tyler, TX and can be reached out via phone at 903-593-1590 and via fax at 903-593-4689.

Location: 1733 Troup Hwy, Tyler, TX, 75701-5869
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275676942
Provider Name
Kimberly B. Kennedy, Inc.
Credential
Provider Entity Type
Organization
Address
1733 Troup Hwy, Tyler, TX, 75701-5869
Phone Number
903-593-1590
Fax Number
903-593-4689
Provider Enumeration Date
02/14/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
530495 01 TX BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1733 Troup Hwy
City
Tyler
State
Texas
Zip
75701-5869
Phone Number
903-593-1590
Fax Number
903-593-4689
person
Provider Business Mailing Address Details
Address
1733 Troup Hwy
City
Tyler
State
Texas
Zip
75701-5869
Phone Number
903-593-1590
Fax Number
903-593-4689
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
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 function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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