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William K Abbott, CERTIFIED PROSTHETIS

Orthotic Fitter in Jefferson City, MO. Individual provider (NPI-1).

NPI number1831133396
StatusActive
Last updated in NPPESNov 8, 2007

Details

NPI
1831133396
Entity type
Individual (NPI-1)
Name
Mr. William K Abbott
Credential
CERTIFIED PROSTHETIS
Sex
Male
Sole proprietor
No
Enumeration date
Jun 15, 2006
Last updated
Nov 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225000000X Orthotic FitterCERTIFIEDMOYes

Practice location

1735 Southwest Blvd
Jefferson City, MO 65109-2435

Phone 573-635-0006 · Fax 573-635-2228

Mailing address

1735 Southwest Blvd
Jefferson City, MO 65109-2435

Phone 573-635-0006 · Fax 573-635-2228

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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.

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