NPI 1578181590

Kenneth James Tallada Garcia, CPO

Practitioner Prosthetist Hampton, VA

Practice location

Address: 100 Emancipation Dr Prosthetics Dept, Hampton, VA 23667-0001
Phone: (757) 722-9961

Registered specialties

Prosthetist Primary

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

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Registry record

NPI: 1578181590
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jul 2020
Record last updated: 7 Jul 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.