MRS. Kelly Roberts Wiggen, COF

NPI #1174827398 in East Flat Rock, North Carolina

Provider Information

NPI Number: 1174827398
Entity Type: Individual
Name: MRS. Kelly Roberts Wiggen, COF
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthotic Fitter
Credential: COF
Enumeration Date: Jan 3, 2011
Last Updated: Mar 6, 2013

Practice Location

Address: 107 EAST WALKER STREET
City: East Flat Rock
State: North Carolina
ZIP Code: 28726
Phone: (828) 595-9371

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotic Fitter	225000000X	Primary

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