Organization
ELEVARE PROSTHETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENYEL BUYCK (OWNER)
(334) 294-4235
Entity
Organization
Contact information
Practice address
4171 LOMAC ST STE F, MONTGOMERY, AL 36106-2945
(334) 294-4235
Mailing address
4171 LOMAC ST STE F, MONTGOMERY, AL 36106-2945
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
02/06/2026
Last updated
02/06/2026
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