NPI 1780836171

Lane K Kimbrough, LO

Practitioner Orthotic Fitter Houston, TX

Practice location

Address: 2525 W. Bellfort Suite 150, Houston, TX 77054
Phone: (713) 349-9335
Fax: (713) 349-8433
Mailing address: 7401 S. Main, Houston, TX 77030

Registered specialties

Orthotic Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X Licence 433 (TX)

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Registry record

NPI: 1780836171
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Oct 2008
Record last updated: 16 Oct 2008

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.