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Kevin C. Dodson D.p.m.
Prosthetic/Orthotic Supplier in East Moline, Illinois
NPI 1699056044

Kevin C. Dodson D.p.m. is a Prosthetic/Orthotic Supplier based in East Moline, IL. Kevin C. Dodson D.p.m. practices in East Moline, IL. The NPI Number for Kevin C. Dodson D.p.m. is 1699056044 and holds a License No. 016004304 (Illinois).

The current practice location address for Kevin C. Dodson D.p.m. is 1620 9Th St, East Moline, IL and can be reached out via phone at 309-755-3809 and via fax at 309-755-3860.

Location: 1620 9Th St, East Moline, IL, 61244-2120
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699056044
Provider Name
Kevin C. Dodson D.p.m.
Credential
Provider Entity Type
Organization
Address
1620 9Th St, East Moline, IL, 61244-2120
Phone Number
309-755-3809
Fax Number
309-755-3860
Provider Enumeration Date
08/30/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1620 9Th St
City
East Moline
State
Illinois
Zip
61244-2120
Phone Number
309-755-3809
Fax Number
309-755-3860
person
Provider Business Mailing Address Details
Address
1620 9Th St
City
East Moline
State
Illinois
Zip
61244-2120
Phone Number
309-755-3809
Fax Number
309-755-3860
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
016004304 (Illinois)
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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