KCB MEDICAL WIGS (NPI# 1558982868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558982868 |
| Entity Type | Organization |
| Organization Name | KCB MEDICAL WIGS |
| Practice Address |
4246 Hillgate Cv Memphis TN 38118-6739 |
| Mailing Address |
1910 Madison Ave # 2145 Memphis TN 38104-2620 |
| Practice Telephone | 9014800802 |
| Practice Fax Number | 9017259174 |
| Mailing Telephone | 9014800802 |
| Mailing Fax Number | 9017259174 |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2020-04-28 |
| Authorized Official Name | SEDRICA BOWEN (OWNER) |
| Authorized Official Telephone | 9014800802 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Street Address |
4246 HILLGATE CV |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38118-6739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689295719 | Dmc Memphis, LLC | Clinic/Center | 3000 Getwell Road, Memphis, TN 38118 | 2020-04-29 |
| 1053958736 | Randy Johnson | Technician | 3221 Gina Drive, Memphis, TN 38118 | 2019-12-02 |
| 1215415823 | Life Partners Home Care Agency, LLC | In Home Supportive Care | 2879 Knightway Road, Memphis, TN 38118 | 2018-08-06 |
| 1326589318 | Latasha Rachell Martin | Nurse Practitioner | 3960 Knight Arnold Rd, Suite 205, Memphis, TN 38118 | 2017-03-10 |
| 1770957375 | Teresa Hughes | Social Worker | 3180 Winchester Road, Memphis, TN 38118 | 2015-11-19 |
| 1891170437 | Bensons Express Pharmacy | Health Maintenance Organization | 3081 South Perkins Rd, Memphis, TN 38118 | 2015-07-24 |
| 1083044226 | Kimberly Winters Griffin | Nurse's Aide | 4100 Tarry Park Apt1, Memphis, TN 38118 | 2013-11-26 |
| 1508017211 | Amy Renee Rike | Counselor | 3960 Knight Arnold Rd. Suite 300, Delta Medical Center - Outpatient Psychiatric Services, Memphis, TN 38118 | 2008-10-01 |
| 1396996047 | Carol Lynn Harriss | Registered Nurse | 2620thousand Oaks Blvd, Suite 2400, Memphis, TN 38118 | 2008-09-30 |
| 1295994671 | Vcphcs I, LLC | Clinic/Center | 4539 Winchester Road, Suite 111, Memphis, TN 38118 | 2008-06-02 |
| Find all providers in zip 38118 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845148 | Hopeful Strands LLC | Prosthetic/Orthotic Supplier | 5852 Sunny Morning Dr, Memphis, TN 38141 | 2020-09-09 |
| 1366901779 | Vascular and Vein Institute of The South, Pllc | Prosthetic/Orthotic Supplier | 6029 Walnut Grove Rd Ste 109, Memphis, TN 38120-2112 | 2019-03-15 |
| 1821545302 | Lynn's Got It Going On Beauty Salon | Prosthetic/Orthotic Supplier | 1119 Springdale St, Memphis, TN 38108-3044 | 2016-09-01 |
| 1033536180 | Center for Orthotics & Prosthetics Inc. | Prosthetic/Orthotic Supplier | 38 N Pauline St, Memphis, TN 38105-5104 | 2014-03-26 |
| 1578902011 | Mnm Ecommerce Group, LLC | Prosthetic/Orthotic Supplier | 5271 Mendenhall Park Pl, Memphis, TN 38115-5906 | 2013-06-18 |
| 1063752293 | Human Technology, Inc. | Prosthetic/Orthotic Supplier | 266 S Cleveland St Ste 102, Memphis, TN 38104 | 2013-02-25 |
| 1225311996 | Pink Ribbons LLC | Prosthetic/Orthotic Supplier | 6295 Summer Ave Ste 105, Memphis, TN 38134-5983 | 2011-09-20 |
| 1447585492 | Access P&o Central Fab | Prosthetic/Orthotic Supplier | 1089 Eastmoreland Ave, Memphis, TN 38104-3334 | 2009-10-08 |
| 1477763332 | Advanced Prosthetics and Orthotics LLC | Prosthetic/Orthotic Supplier | 6515 Poplar Ave, Ste #112, Memphis, TN 38119-4878 | 2007-05-22 |
| 1386788636 | Fourroux Prosthetics, Inc | Prosthetic/Orthotic Supplier | 6740 Reese Road, Memphis, TN 38133-4978 | 2007-02-19 |
| Find all providers in MEMPHIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.