Individual provider · Type 1 NPI

Kenneth Edgerton Jr., PROSTHETICSPECIALIST

Customized Equipment (DME) · Washington, DC

NPI number 1629851795 Active

Practice location

1604 7th St NW Ste B
Washington, DC 20001-3219

Mailing address

2727 29th St NW Apt 137
Washington, DC 20008-5535

Specialties and licenses

TaxonomyCodeLicense
Customized Equipment (DME) Primary 332BC3200XNone listed

Customized Equipment (DME): Definition to come...

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About NPI 1629851795

Kenneth Edgerton Jr., PROSTHETICSPECIALIST's National Provider Identifier is 1629851795, issued on Aug 14, 2023. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Washington, DC. The record was last updated on Aug 14, 2023.