Organization
KJL PROSTHESIS
Active
Other names
KJL Prosthesis
Organization subpart
No
Provider details
NPI number
Authorized official
KINNY MCLAREN (OWNER)
(321) 444-2110
Entity
Organization
Contact information
Practice address
4530 S ORANGE BLOSSOM TRL # 594, ORLANDO, FL 32839-1704
(321) 444-2110
(321) 275-3775
Mailing address
4530 S ORANGE BLOSSOM TRL # 594, ORLANDO, FL 32839-1704
(321) 444-2110
(321) 275-3775
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
02/09/2022
Last updated
03/16/2022
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