Organization
REICHERT & KELSEY PROSTHETICS ORTHOTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS E REICHERT CP (OWNER)
(262) 654-4300
Entity
Organization
Contact information
Practice address
5027 GREEN BAY RD, STE 124, KENOSHA, WI 53144-1771
(262) 654-4300
(262) 654-4305
Mailing address
5027 GREEN BAY RD, STE 124, KENOSHA, WI 53144-1771
(262) 654-4300
(262) 654-4305
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24746
ABP
WI
05
—
41789200
—
WI
01
—
81892
NPN
WI
Enumeration date
06/28/2005
Last updated
05/23/2008
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