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NPI Code Detail

MEDICARE: PERFECT POCKET LLC

MEDICARE: PERFECT POCKET LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224900000XMastectomy Fitter

General Provider Information

NPI Number : 1073303723
Entity Type Code : Organization
Provider Name (Legal Business Name) : PERFECT POCKET LLC
Provider Business Mailing Address
First Line : 5232 E 69TH PL
Second Line :
City : TULSA
State : OK
Zip : 74136-3407
Country : US
Telephone Number : 918-727-2289
Fax Number : 918-221-7814
Provider Business Practice Location Address
First Line : 5232 E 69TH PL
Second Line :
City : TULSA
State : OK
Zip : 74136-3407
Country : US
Telephone Number : 918-727-2289
Fax Number : 918-221-7814
Authorized Official
Title or Position : OWNER
Name : KRISTIN MARIE PURDY
Credential :
Telephone Number : 918-727-2289
Provider Enumeration Date : 05/07/2025
Last Update Date : 01/13/2026

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Directions to “PERFECT POCKET LLC ” Practice Location

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