NPI 1063050862

Southern Prosthetic Care LLC

Organisation Prosthetic/Orthotic Supplier Gulfport, MS

Practice location

Address: 4410 W Railroad St, Gulfport, MS 39501
Phone: (228) 265-7847
Fax: (228) 265-7876

Authorised official

Name: William J Kenny
Title: Owner
Phone: (228) 265-7847

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

Other Prosthetic/Orthotic Supplier providers in Mississippi →

Registry record

NPI: 1063050862
Entity type: Organization
NPI issued: 12 Dec 2019
Record last updated: 10 Feb 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.