Elevare Prosthetics LLC
Prosthetic/Orthotic Supplier in Montgomery, AL. Organization (NPI-2).
NPI number1851242689
StatusActive
Last updated in NPPESFeb 6, 2026
Details
- NPI
- 1851242689
- Entity type
- Organization (NPI-2)
- Legal business name
- Elevare Prosthetics LLC
- Organization subpart
- No
- Enumeration date
- Feb 6, 2026
- Certification date
- Feb 5, 2026
- Last updated
- Feb 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | – | Yes |
Practice location
4171 Lomac St Ste FMontgomery, AL 36106-2945
Phone 334-294-4235
Mailing address
4171 Lomac St Ste FMontgomery, AL 36106-2945
Authorized official
Kenyel Buyck
Owner
3342944235
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