Organization
K4 OUTCOMES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD GINGRAS (PRESIDENT)
(336) 414-5828
Entity
Organization
Contact information
Practice address
90 CYPRESS WAY E, SUITE 60, NAPLES, FL 34110-9275
(239) 307-5520
Mailing address
PO BOX 110808, NAPLES, FL 34108-0114
(239) 307-5520
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015913100
—
FL
Enumeration date
06/05/2015
Last updated
04/04/2016
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