Organization
VAGABOND SHOES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN M KELNHOFER (OWNER)
(920) 606-0163
Entity
Organization
Contact information
Practice address
4760 INTEGRITY WAY, APPLETON, WI 54913-8464
(920) 882-3989
(920) 882-3988
Mailing address
1243 BEECHWOOD CT, GREEN BAY, WI 54313-7261
(920) 606-0163
(920) 882-3988
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
WI
Other
Enumeration date
07/30/2006
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up