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Kinetic Prosthetics & Medical Supply
Prosthetic/Orthotic Supplier in Hiram, Georgia
NPI 1285254656

Kinetic Prosthetics & Medical Supply is a Prosthetic/Orthotic Supplier based in Hiram, GA. Kinetic Prosthetics & Medical Supply practices in Hiram, GA. The NPI Number for Kinetic Prosthetics & Medical Supply is 1285254656 and holds a License No. (Georgia).

The current practice location address for Kinetic Prosthetics & Medical Supply is 3595 Hiram Douglasville Hwy Ste 102, Hiram, GA and can be reached out via phone at 678-653-8370 and via fax at 404-492-8885.

Location: 3595 Hiram Douglasville Hwy Ste 102, Hiram, GA, 30141-4963
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285254656
Provider Name
Kinetic Prosthetics & Medical Supply
Credential
Provider Entity Type
Organization
Address
3595 Hiram Douglasville Hwy Ste 102, Hiram, GA, 30141-4963
Phone Number
678-653-8370
Fax Number
404-492-8885
Provider Enumeration Date
04/25/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7812720001 01 GA DMEPOS
institution
Provider Business Practice Location Address Details
Address
3595 Hiram Douglasville Hwy Ste 102
City
Hiram
State
Georgia
Zip
30141-4963
Phone Number
678-653-8370
Fax Number
404-492-8885
person
Provider Business Mailing Address Details
Address
3595 Hiram Douglasville Hwy Ste 102
City
Hiram
State
Georgia
Zip
30141-4963
Phone Number
678-653-8370
Fax Number
404-492-8885
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
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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