OrganizationActive
Buckle My Shoe, LLC
NPI 1760631089 · Durable Medical Equipment & Medical Supplies · Wichita, KS
Provider details
- NPI number
- 1760631089
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Cynthia Warren, Managing Member(316) 682-1821
Specialties & taxonomies
Suppliers
- Non-Pharmacy Dispensing Site332900000X
Suppliers
- Prosthetic/Orthotic Supplier335E00000X
Suppliers
Practice location
4723 E Douglas Ave
Wichita, KS 67218-1012
Phone: (316) 682-1821
Fax: (316) 682-1005
Approximate (ZIP-level) locationGet directions
Mailing address
4723 E Douglas Ave
Wichita, KS 67218-1012
Other names (DBA / former)
- Doing business as
- Head'S Village Shoe Store
Registry dates
- Enumerated
- 2008-09-10
- Last updated
- 2009-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.