NPI 1083668024

Personal Image INC.

Organisation Prosthetic/Orthotic Supplier Wichita, KS

Practice location

Address: 1905 N Maize Rd, Wichita, KS 67212-5203
Phone: (316) 260-8260
Fax: (316) 260-8266

Authorised official

Name: Mary Anna Roberts
Title: Persident
Phone: (316) 260-8260

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence CFM00705 (KS)

Other Prosthetic/Orthotic Supplier providers in Kansas →

Registry record

NPI: 1083668024
Entity type: Organization
NPI issued: 22 May 2006
Record last updated: 10 Apr 2008

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.