Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNETH ALAN MANDLER, C.O. CERTIFIED ORTHO
Active Sole ProprietorMR. KENNETH ALAN MANDLER, C.O. CERTIFIED ORTHO is a Orthotist healthcare provider located in LIBERTY LAKE, Washington. NPI 1154470193 is currently active in the NPPES registry. Verify at CMS.
Orthotist · LIBERTY LAKE, WA
Registration Details
- NPI Number
- 1154470193
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 9, 2007 (19.615139677645 yrs)
- Last Updated
- Oct 18, 2023
- License
-
DI00000466 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
509 N HOMESTEAD DRLIBERTY LAKE, WA, 990197580Browse WA providers · Browse ZIP 99019
- Phone
- 5093894783
- Primary Specialty
-
Orthotist
222Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.