MEDICAL WIGS BY KIMBERLY LLC
NPI 1619561073
Prosthetic/Orthotic Supplier in Shreveport, LA

Active since February 25, 2021
1303 LINE AVE STE 300, SHREVEPORT, LA 71101(318) 453-3693 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 4, 2025, Feb 25, 2021 (2 updates tracked since 2021).

About Medical Wigs By Kimberly Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDICAL WIGS BY KIMBERLY LLC (NPI 1619561073) is a healthcare organization registered as a prosthetic/orthotic supplier in Shreveport, Louisiana and active in the NPI registry since February 2021. The organization lists Kimberly Nicole Bryant, Cranial Prosthesis Specialist-owner, as its authorized official.

NPPES Registry Identity

NPI1619561073
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameMEDICAL WIGS BY KIMBERLY LLC
Location Address1303 LINE AVE STE 300Shreveport, LA 71101-4628
Mailing Address1303 Line Ave Ste 300Shreveport, LA 71101-4628 · (318) 453-3693
Organization SubpartNo
Authorized OfficialKimberly Nicole BryantCranial Prosthesis Specialist-owner · (318) 453-3693
Enumeration DateFebruary 25, 2021
Last NPPES UpdateApril 4, 20252 updates tracked since enumeration
NPPES CertifiedApril 4, 2025
✔ NPI 1619561073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
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.
1303 LINE AVE STE 300, Shreveport, LA 71101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medical Wigs By Kimberly LLC's NPI number?

The NPI number for Medical Wigs By Kimberly LLC is 1619561073. It was assigned to this organization in the NPPES registry on February 25, 2021.

Where is Medical Wigs By Kimberly LLC located?

Medical Wigs By Kimberly LLC is located at 1303 Line Ave Ste 300, Shreveport, LA 71101. The listed phone number is (318) 453-3693.

What is Medical Wigs By Kimberly LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Medical Wigs By Kimberly LLC was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.