Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Medical Wigs by Kimberly LLC

Organization Prosthetic/Orthotic Supplier · NPI 1619561073

Medical Wigs by Kimberly LLC is a Prosthetic/Orthotic Supplier in Shreveport, Louisiana. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1303 Line Ave Ste 300
Shreveport, LA 71101-4628
Phone: (318) 453-3693
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1619561073
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Bryant — Cranial Prosthesis Specialist-Owner · (318) 453-3693
NPI enumeratedFebruary 25, 2021
Last updated in NPPESApril 4, 2025
Certification dateApril 4, 2025
Mailing address1303 Line Ave Ste 300, Shreveport, LA 71101-4628

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