Shawnee Pedorthic Service, Inc.
Customized Equipment
1510 N Kickapoo Ave, Suite 11, Shawnee
Oklahoma, 74804-4331
405-275-1996 405-275-0809
Shawnee Pedorthic Service, Inc. is a Customized Equipment in Shawnee, Oklahoma. It is located at 1510 N Kickapoo Ave, Suite 11, Shawnee and it's customer support contact number is 405-275-1996. The authorized person of Shawnee Pedorthic Service, Inc. is Mrs. Linda S Kriwanek, C.PED., L.PED. who is Owner, Secretary Of Corp. of this DME and her contact number is 405-275-1996. Active license number of Shawnee Pedorthic Service, Inc. is 16 for Customized Equipment in Oklahoma.
Shawnee Pedorthic Service, Inc. is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Shawnee Pedorthic Service, Inc. type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Shawnee Pedorthic Service, Inc. |
| Type: | Customized Equipment |
| Location: | 1510 N Kickapoo Ave, Suite 11, Shawnee,
Oklahoma, 74804-4331 |
| Phone: | 405-275-1996 |
| Fax: | 405-275-0809 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mrs. Linda S Kriwanek |
| Credentials: | C.PED., L.PED. |
| Position: | Owner, Secretary Of Corp. |
| Contact Number: | 405-275-1996 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1922106509 |
| NPI Enumeration Date: | 20 Sep, 2006 |
| NPI Last Update On: | 30 Sep, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shawnee Pedorthic Service, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Customized Equipment | 16 | Oklahoma | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 100808590 A | Medicaid | Oklahoma | |
| 731580812001 | Other | Oklahoma | Bluecross Blueshield Pin |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1510 N Kickapoo Ave, Suite 11
Shawnee, Oklahoma |
| Zip: | 74804-4331 |
| Phone Number: | 405-275-1996 |
| Fax Number: | 405-275-0809 |
Patients can reach Shawnee Pedorthic Service, Inc. at
1510 N Kickapoo Ave, Suite 11, Shawnee, Oklahoma or can
call on customer care at 405-275-1996.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.