Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENYA DESAUTELS, CPO
ActiveKENYA DESAUTELS, CPO is a Orthotist healthcare provider located in ROSEVILLE, California. NPI 1811416027 is currently active in the NPPES registry. Verify at CMS.
Orthotist · ROSEVILLE, CA
Registration Details
- NPI Number
- 1811416027
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 19, 2017 (8.8733170113938 yrs)
- Last Updated
- Jul 21, 2022
Practice Information
- Address
-
1411 SECRET RAVINE PKWY STE 100ROSEVILLE, CA, 956616042Browse CA providers · Browse ZIP 95661
- Phone
- 9167846900
- Fax
- 9167846901
- Primary Specialty
-
Orthotist
222Z00000X
- Additional Specialty
- Orthotist
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.