Personal Image INC.
Prosthetic/Orthotic Supplier in Wichita, KS. Organization (NPI-2).
NPI number1083668024
StatusActive
Last updated in NPPESApr 10, 2008
Details
- NPI
- 1083668024
- Entity type
- Organization (NPI-2)
- Legal business name
- Personal Image INC.
- Organization subpart
- No
- Enumeration date
- May 22, 2006
- Last updated
- Apr 10, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | CFm00705 | KS | Yes |
Practice location
1905 N Maize RdWichita, KS 67212-5203
Phone 316-260-8260 · Fax 316-260-8266
Mailing address
1905 N Maize RdWichita, KS 67212-5203
Phone 316-260-8260 · Fax 316-260-8266
Authorized official
Mary Anna Roberts
Persident
3162608260
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