person
Mr. Kenneth Edgerton JR., PROSTHETICSPECIALIST
Customized Equipment (DME) in Washington, District of Columbia
NPI 1629851795

Kenneth Edgerton JR. is a Customized Equipment (DME) based in Washington, DC and is specialized in Customized Equipment. Kenneth Edgerton JR. practices in Washington, DC and has the professional credentials of PROSTHETICSPECIALIST. The NPI Number for Kenneth Edgerton JR. is 1629851795 and holds a License No. (District of Columbia).

The current practice location address for Kenneth Edgerton JR. is 1604 7Th St Nw Ste B, Washington, DC and can be reached out via phone at 202-515-8053.

Location: 1604 7Th St Nw Ste B, Washington, DC, 20008-5535
person
Provider Profile Details
NPI Number
1629851795
Provider Name
Kenneth Edgerton JR.
Credential
PROSTHETICSPECIALIST
Provider Entity Type
Individual
Gender
Male
Address
1604 7Th St Nw Ste B, Washington, DC, 20008-5535
Phone Number
202-515-8053
Fax Number
Provider Enumeration Date
08/14/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1604 7Th St Nw Ste B
City
State
Zip
20001-3219
Phone Number
202-515-8053
Fax Number
person
Provider Business Mailing Address Details
Address
1604 7Th St Nw Ste B
City
State
Zip
20001-3219
Phone Number
202-515-8053
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
()
Definition
Definition to come...
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