Organization
SOUTHWIND MEDICAL SUPPLIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE FOCHT (OWNER)
(913) 647-6633
Entity
Organization
Contact information
Practice address
6600 COLLEGE BLVD STE 100A, OVERLAND PARK, KS 66211-1876
(913) 647-6633
Mailing address
6600 COLLEGE BLVD STE 100A, OVERLAND PARK, KS 66211-1876
(913) 647-6633
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
11/27/2007
Last updated
11/27/2007
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