Kidder Orthopedic Laboratories Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

POR193 Issued in FL

Legal business name

KIDDER ORTHOPEDIC LABORATORIES INC.

Practice address

301 S Citrus Ave
Inverness, FL 34452-4705

Phone

(352) 419-7969

Fax

(352) 419-7973

NPI assigned

Feb 21, 2013

Organization subpart

No

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

Authorized official

Name

John E Messer, CPO, LPO

Title

President/Owner

Phone

(352) 419-7969

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1689914004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S CITRUS AVE",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524705",
            "telephone_number": "352-419-7969",
            "fax_number": "352-419-7973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S CITRUS AVE",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524705",
            "telephone_number": "352-419-7969",
            "fax_number": "352-419-7973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDDER ORTHOPEDIC LABORATORIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-21",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "MESSER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "352-419-7969",
        "authorized_official_credential": "CPO, LPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "POR193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raza Nasir Khaliq, DO
• Aurangzaib Khan, PA-C
• Hasibul Hassan Khan, MD
• Julia Noelle Khan, MD
• Youssef Khalil Khodor, DO
• Peter Y. Kim, M.D.
• Emily Kathleen King, BA SLPA
• Lori Ann King, LMHC
• Toccoa Jessica King
• Jeffery Shane Kinnard, D.C.

• Prosthetic/Orthotic Supplier in Inverness, FL
• Providers in Inverness, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; 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.