Whalio Doctors

NPI 1386365567

Kristopher Nicholas Urbanovitch

Practitioner Prosthetist Decatur, GA

Practice location

Address
1670 Clairmont Rd # 508121, Decatur, GA 30033-4004
Phone
(404) 321-6111
Mailing address
3018 Kentmere Dr, Cumming, GA 30040-1220

Registered specialties (2)

Prosthetist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 131 (GA)
Orthotist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence 131 (GA)

Registry record

NPI
1386365567
Entity type
Individual
Sex (as registered)
Male
NPI issued
7 Sep 2022
Record last updated
7 Sep 2022

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.