Organization · NPI-2

Kickstart O&P, LLC

Prosthetic/Orthotic Supplier · San Francisco, CA

NPI number1073489829
StatusActive
Last updated in NPPESOct 16, 2025

Details

NPI
1073489829
Entity type
Organization (NPI-2)
Legal business name
Kickstart O&P, LLC
Organization subpart
Yes
Enumeration date
Oct 16, 2025
Certification date
Oct 16, 2025
Last updated
Oct 16, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
335E00000X Prosthetic/Orthotic Supplier––Yes

Other names

  • Kickstart Orthotics And Prosthetics (Doing Business As)

Practice location

1880 Mission St Ste E
San Francisco, CA 94103-3502

Phone 510-996-4200 · Fax 510-906-4557

Mailing address

4651 Telegraph Ave
Oakland, CA 94609-2021

Phone 510-996-4200 · Fax 510-906-4557

Authorized official

Tony L Lafrance
Owner
5109964200

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