IndividualActive
Kent Wiggins, CPO
NPI 1861629446 · Prosthetist · Port Royal, SC
Provider details
- NPI number
- 1861629446
- Entity type
- Individual
- Primary specialty
- ProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CPO
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Orthotist222Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2210 Mossy Oaks Rd
Port Royal, SC 29935-1046
Phone: (843) 379-9047
Fax: (843) 379-9048
Approximate (ZIP-level) locationGet directions
Mailing address
2210 Mossy Oaks Rd
Port Royal, SC 29935-1046
Registry dates
- Enumerated
- 2009-06-22
- Last updated
- 2009-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.