Organization
KAVELLA PROSTHETICS AND ORTHOTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BATOOL SUMMER SIDDIQUI LCPO (OWNER/CLINICIAN)
(682) 390-4499
Entity
Organization
Contact information
Practice address
99 CHEEK SPARGER RD STE 104A, COLLEYVILLE, TX 76034-2204
(682) 390-4499
(817) 549-9460
Mailing address
99 CHEEK SPARGER RD STE 104A, COLLEYVILLE, TX 76034-2204
(682) 390-4499
(817) 549-9460
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/31/2022
Last updated
12/20/2023
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