Individual provider · Type 1 NPI
Wallace Kim
Prosthetic/Orthotic Supplier · Colorado Springs, CO
Practice location
3275 E Platte Ave Ste D2
Colorado Springs, CO 80909-6444
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
| Prosthetic/Orthotic Supplier Primary | 335E00000X | None listed |
Prosthetic/Orthotic Supplier: 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.
Other prosthetic/orthotic supplier providers in Colorado Springs
About NPI 1487459079
Wallace Kim's National Provider Identifier is 1487459079, issued on Feb 17, 2025. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Colorado Springs, CO. The record was last updated on Oct 3, 2026.