MR. KELLY DEAN WINTER CP LP NPI 1619181997

NPI Information

NPI: 1619181997
Provider Name: MR. KELLY DEAN WINTER, CP, LP
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Individual
Address:
7675 LANIER VIEW RDG
CUMMING, GA
ZIP 30041
Phone: (770) 844-1909
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MR. Kelly Dean Winter, CP, LP is a prosthetic orthotic supplier in Cumming, GA. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. MR. Kelly Dean Winter, CP, LP NPI is 1619181997. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7675 LANIER VIEW RDG
CUMMING, GA
ZIP 30041-162
Phone: (770) 844-1909

The enumeration date for this NPI number is 5/9/2007 and was last updated on 5/23/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		000034	GEORGIA	No
2	335E00000X	Prosthetic/Orthotic Supplier				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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