Kingsport Brace and Limb, Inc.

NPI #1255425526 in Kingsport, Tennessee

Provider Information

NPI Number: 1255425526
Entity Type: Organization
Organization Name: Kingsport Brace and Limb, Inc.
Primary Specialty: Specialist - Prosthetics Case Management
Enumeration Date: Oct 3, 2006
Last Updated: Oct 14, 2013

Practice Location

Address: 921 BROAD ST
City: Kingsport
State: Tennessee
ZIP Code: 37660-3801
Phone: (423) 246-3324

Authorized Official

Name: MR. TERRY ALLEN GRAYBEAL, CPO
Title: PRESIDENT/CPO
Phone: (423) 246-3324

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist - Prosthetics Case Management — Prosthetics Case Management	1744P3200X	Primary

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