NPI 1356441950

Vagabond Shoes, INC.

Organisation Prosthetic/Orthotic Supplier Green Bay, WI

Practice location

Address: 635 Bay Park Sq, Green Bay, WI 54304-5101
Phone: (920) 606-0163
Fax: (920) 498-2429

Authorised official

Name: Kathleen M Kelnhofer
Title: Owner
Phone: (920) 606-0163

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1356441950
Entity type: Organization
NPI issued: 23 Sep 2006
Record last updated: 22 Aug 2020

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.