Organization
KESSLER-HEASLEY ARTIFICIAL LIMB CO
Active
Other names
Kessler-Heasley Artificial Limb Co
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE JON MUGGENBURG (OFFICE MANAGER)
(417) 889-3222
Entity
Organization
Contact information
Practice address
3250 S DELAWARE AVE, SPRINGFIELD, MO 65804-6486
(417) 889-3222
(417) 889-3223
Mailing address
3250 S DELAWARE AVE, SPRINGFIELD, MO 65804-6486
(417) 889-3222
(417) 889-3223
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31417
BLUE CROSS BLUE SHIELD ID
MO
05
—
620744805
—
MO
Enumeration date
11/02/2005
Last updated
01/17/2022
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