K.N. Medical Wigs Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

K.N. MEDICAL WIGS INC

Practice address

651 E Main St Ste I
Haines City, FL 33844-4240

Phone

(863) 837-9093

Fax

(863) 588-4176

NPI assigned

Jun 8, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Salandrae Kisler

Title

Owner

Phone

(863) 837-9093

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1083239891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 E MAIN ST STE I",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338444240",
            "telephone_number": "863-837-9093",
            "fax_number": "863-588-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 E MAIN ST STE I",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338444240",
            "telephone_number": "863-837-9093",
            "fax_number": "863-588-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K.N. MEDICAL WIGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-08",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "KISLER",
        "authorized_official_first_name": "SALANDRAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-837-9093"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "8635884176",
            "affiliation": "N",
            "endpointDescription": "fax #",
            "address_1": "651 E Main St Ste I",
            "city": "Haines City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338444240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.