Organization
SOUTHERN PROSTHETIC CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM J KENNY CP (OWNER)
(228) 265-7847
Entity
Organization
Contact information
Practice address
4410 W RAILROAD ST, GULFPORT, MS 39501
(228) 265-7847
(228) 265-7876
Mailing address
4410 W RAILROAD ST, GULFPORT, MS 39501
(228) 265-7847
(228) 265-7876
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
12/12/2019
Last updated
02/10/2026
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