Organization
KC OCULAR AND FACIAL PROSTHETICS
Active
Other names
KC OCULAR AND FACIAL PROSTHETICS CO
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN GERARD COMEAU (PRESIDENT)
(913) 626-4980
Entity
Organization
Contact information
Practice address
5424 STATE AVE, KANSAS CITY, KS 66102-3446
(913) 626-4980
(913) 423-3221
Mailing address
5424 STATE AVE, KANSAS CITY, KS 66102-3446
(913) 626-4980
(913) 365-6165
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
08/25/2023
Last updated
12/27/2023
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