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Jordan Poynter, CO

Prosthetic/Orthotic Supplier in Kokomo, IN. Individual provider (NPI-1).

NPI number1669904579
StatusActive
Last updated in NPPESMar 30, 2017

Details

NPI
1669904579
Entity type
Individual (NPI-1)
Name
Jordan Poynter
Credential
CO
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 30, 2017
Last updated
Mar 30, 2017

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
335E00000X Prosthetic/Orthotic Supplier––Yes

Practice location

3708 S Lafountain St
Kokomo, IN 46902-3805

Phone 765-865-3668 · Fax 765-865-9640

Mailing address

408 E Washington St
Butler, IN 46721-1179

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Prosthetic/Orthotic Supplier providers in Kokomo, IN

All 5 Prosthetic/Orthotic Supplier providers in Kokomo · All 2,349 providers in Kokomo

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