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

Mr. Kenneth Edgerton Jr., PROSTHETICSPECIALIST

Individual provider Customized Equipment (DME) · NPI 1629851795

Mr. Kenneth Edgerton Jr., PROSTHETICSPECIALIST is a Customized Equipment (DME) in Washington, District of Columbia. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1604 7th St NW Ste B
Washington, DC 20001-3219
Phone: (202) 515-8053
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Customized Equipment (DME) (primary) Taxonomy 332BC3200X

Record details

NPI number1629851795
Entity typeIndividual (Type 1)
GenderMale
Credentials PROSTHETICSPECIALIST
Sole proprietorYes
NPI enumeratedAugust 14, 2023
Last updated in NPPESAugust 14, 2023
Certification dateAugust 14, 2023

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