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Akbk

Prosthetic/Orthotic Supplier in Knoxville, TN. Organization (NPI-2).

NPI number1902993124
StatusActive
Last updated in NPPESMar 20, 2012

Details

NPI
1902993124
Entity type
Organization (NPI-2)
Legal business name
Akbk
Organization subpart
No
Enumeration date
Oct 9, 2006
Last updated
Mar 20, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
335E00000X Prosthetic/Orthotic Supplier––Yes

Other names

  • Crockett Prosthetics & Orthotics (Doing Business As)

Practice location

10932 Murdock Dr
Suite 105a
Knoxville, TN 37932-3239

Phone 865-675-2873 · Fax 865-675-2879

Mailing address

4503 Walker Blvd
Knoxville, TN 37917-1526

Phone 865-688-2626 · Fax 865-688-3647

Authorized official

Peter Paul Kosloski
Owner/President
8656882626

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