Organization
DESERT ORTHOTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH ERVINE FATKIN DPM (OWNER)
(702) 435-7987
Entity
Organization
Contact information
Practice address
600 WHITNEY RANCH DR, SUITE C13, HENDERSON, NV 89014-2611
(702) 435-7987
(702) 435-7616
Mailing address
600 WHITNEY RANCH DR, SUITE C-13, HENDERSON, NV 89014-2611
(702) 435-7987
(702) 435-7616
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/05/2010
Last updated
12/27/2010
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