Organization
KENLEA ALLURE LLC
Active
Other names
KENLEA ALLURE RX
Organization subpart
No
Provider details
NPI number
Authorized official
KANESHA GENTRY (CRANIAL PROTHESIS SPECIALIST)
(813) 551-1219
Entity
Organization
Contact information
Practice address
11216 CARRICK STONE ST, WIMAUMA, FL 33598-6321
(813) 551-1219
Mailing address
6421 N FLORIDA AVE # D-593, TAMPA, FL 33604-6007
(813) 551-1219
(813) 923-3319
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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