institution
Kormylo Orthopedic Inc
Prosthetic/Orthotic Supplier in Boise, Idaho
NPI 1902811433

Kormylo Orthopedic Inc is a Prosthetic/Orthotic Supplier based in Boise, ID. Kormylo Orthopedic Inc practices in Boise, ID. The NPI Number for Kormylo Orthopedic Inc is 1902811433 and holds a License No. (Idaho).

The current practice location address for Kormylo Orthopedic Inc is 175 N Benjamin Ln, Boise, ID and can be reached out via phone at 208-377-4024 and via fax at 208-375-8522.

Location: 175 N Benjamin Ln, Boise, ID, 83704-8328
institution
Provider Profile Details
NPI Number
1902811433
Provider Name
Kormylo Orthopedic Inc
Credential
Provider Entity Type
Organization
Address
175 N Benjamin Ln, Boise, ID, 83704-8328
Phone Number
208-377-4024
Fax Number
208-375-8522
Provider Enumeration Date
07/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8069839 05 ID
institution
Provider Business Practice Location Address Details
Address
175 N Benjamin Ln
City
State
Zip
83704-8328
Phone Number
208-377-4024
Fax Number
208-375-8522
person
Provider Business Mailing Address Details
Address
175 N Benjamin Ln
City
State
Zip
83704-8328
Phone Number
208-377-4024
Fax Number
208-375-8522
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
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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