Organization
BODY PARTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN SCOTT CAMPBELL SR. (CEO)
(985) 730-4357
Entity
Organization
Contact information
Practice address
722 LOUISIANA AVE, BOGALUSA, LA 70427-3329
(985) 730-4357
(985) 730-5267
Mailing address
722 LOUISIANA AVE, BOGALUSA, LA 70427-3329
(985) 730-4357
(985) 730-5267
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00440994
—
MS
05
—
1561312
—
LA
Enumeration date
01/02/2008
Last updated
04/20/2008
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