Organization
KCB PROSTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEDRICA N BOWENS (OWNER)
(901) 480-0802
Entity
Organization
Contact information
Practice address
4246 HILLGATE CV, MEMPHIS, TN 38118-6739
(901) 480-0802
(901) 725-9174
Mailing address
4246 HILLGATE CV, MEMPHIS, TN 38118-6739
(901) 480-0802
(901) 480-0802
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/28/2020
Last updated
06/07/2021
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