NPI 1306043369

Kormylo Orthopedic INC

Organisation Prosthetic/Orthotic Supplier Nampa, ID

Practice location

Address: 3906 E Flamingo Ave, Nampa, ID 83687-3102
Phone: (208) 466-4360
Fax: (208) 466-2420
Mailing address: 175 N Benjamin Ln, Boise, ID 83704-8328

Authorised official

Name: Markus a Kormylo
Title: President
Phone: (208) 377-4024

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

Other Prosthetic/Orthotic Supplier providers in Idaho →

Registry record

NPI: 1306043369
Entity type: Organization
NPI issued: 2 Jul 2007
Record last updated: 8 Jan 2016

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.