Organization
REICHERT & KELSEY PROSTHETICS ORTHOTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN S KELSEY CPO, LPO (OWNER)
(414) 282-3100
Entity
Organization
Contact information
Practice address
6790 W LAYTON AVE, GREENFIELD, WI 53220-4571
(414) 282-3100
(414) 282-3101
Mailing address
5027 GREEN BAY RD, SUITE 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
05
—
41789200
—
WI
Enumeration date
04/04/2011
Last updated
04/04/2011
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