| Kmy Prosthetic & Orthotic Inc. | |
|
6137 N Thesta St Ste 101b Fresno CA 93710-8605 | |
| (559) 277-3909 | |
| (559) 277-3090 |
| Full Name | Kmy Prosthetic & Orthotic Inc. |
|---|---|
| Speciality | Prosthetic/Orthotic Supplier |
| Location | 6137 N Thesta St Ste 101b, Fresno, California |
| Authorized Official Name and Position | Najeebullah Chaudhry (PROSTHETIST/ORTHOTIST) |
| Authorized Official Contact | 5592773909 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kmy Prosthetic & Orthotic Inc. 6137 N Thesta St Ste 101b Fresno CA 93710-8605 Ph: (559) 277-3909 | Kmy Prosthetic & Orthotic Inc. 6137 N Thesta St Ste 101b Fresno CA 93710-8605 Ph: (559) 277-3909 |
| NPI Number | 1831582220 |
|---|---|
| Provider Enumeration Date | 03/10/2015 |
| Last Update Date | 08/25/2021 |
| Medicare PECOS PAC ID | 5193039998 |
|---|---|
| Medicare Enrollment ID | O20150807013813 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831582220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 335E00000X | Prosthetic/orthotic Supplier | C50916 (Maryland) | Primary |
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