Healthcare Provider Details

I. General information

NPI: 1881263093
Provider Name (Legal Business Name): KUTE&KATCHY LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2021
Last Update Date: 06/22/2021
Certification Date: 06/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2104 RIDGE ST
SOUTH BOSTON VA
24592-2032
US

IV. Provider business mailing address

PO BOX 1353
SOUTH BOSTON VA
24592-1353
US

V. Phone/Fax

Practice location:
  • Phone: 434-272-9952
  • Fax:
Mailing address:
  • Phone: 434-272-9952
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: BRITTANY MCWHITE
Title or Position: CRANIAL PROSTHESIS SPECIALIST
Credential:
Phone: 434-272-9952