Organization
PROSTHETICS AND ORTHOTICS OF THE OZARKS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL L KENNEY CP,C.PED (PRESIDENT)
(417) 725-7539
Entity
Organization
Contact information
Practice address
1269 N ROBIN ST, NIXA, MO 65714-8097
(417) 725-7539
(417) 725-4290
Mailing address
1269 N ROBIN ST, NIXA, MO 65714-8097
(417) 725-7539
(417) 725-4290
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/30/2006
Last updated
02/22/2010
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