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

Southern Prosthetic Care LLC

Organization Prosthetic/Orthotic Supplier · NPI 1063050862

Southern Prosthetic Care LLC is a Prosthetic/Orthotic Supplier in Gulfport, Mississippi. Works from 3 locations. Registered with an NPI since 2019.

In the registry since
2019
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

4410 W Railroad St
Gulfport, MS 39501
Phone: (228) 265-7847
Fax: (228) 265-7876
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1308 44th Ave, Gulfport, MS 39501-2552 — (228) 265-7847
  • 4201 Highway 11 N Ste D, Picayune, MS 39466-2014 — (769) 242-2555

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1063050862
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Kenny — Owner · (228) 265-7847
NPI enumeratedDecember 12, 2019
Last updated in NPPESFebruary 10, 2026
Certification dateFebruary 10, 2026
Mailing address4410 W Railroad St, Gulfport, MS 39501

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