NPI 1306315593

Kirk Rose, CPO

Practitioner Prosthetist Redding, CA

Practice location

Address: 1844 South St, Redding, CA 96001-1809
Phone: (530) 243-4500
Fax: (530) 243-4554

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Registry record

NPI: 1306315593
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Nov 2018
Record last updated: 16 Nov 2018

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.