Individual
MR. KENNETH EDGERTON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PROSTHETICSPECIALIST
Contact information
Practice address
1604 7TH ST NW STE B, WASHINGTON, DC 20001-3219
(202) 515-8053
Mailing address
2727 29TH ST NW APT 137, WASHINGTON, DC 20008-5535
(202) 817-3688
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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