Organization
KACO OCULAR PROSTHETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN G. COMEAU (CFO)
(978) 239-8821
Entity
Organization
Contact information
Practice address
1628 MCKUSICK LN, STILLWATER, MN 55082-4620
(978) 239-8821
(859) 217-6178
Mailing address
1628 MCKUSICK LN, STILLWATER, MN 55082-4620
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
07/18/2022
Last updated
05/22/2023
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