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Organization

CORNELL ORTHOTICS & PROSTHETICS ENTP. LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BILL CORNELL BOC(P) RT(P) (PRESIDENT)
(316) 684-2673
Entity
Organization

Contact information

Practice address
6108 W CENTRAL AVE, WICHITA, KS 67212-2844
(316) 684-2673
(316) 941-3502
Mailing address
6108 W CENTRAL AVE, WICHITA, KS 67212-2844
(316) 684-2673
(316) 941-3502

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
07/29/2006
Last updated
12/13/2007
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