Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oxygen Equipment & Supplies |
332BX2000X | B1 | Oxygen supplier |
| NPI # | 1467176685 |
| LBN Legal business name | JK TRAINER, INC. |
| Authorized official | BETH KUDLACZ - (MANAGER) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 09/30/2022 |
| Last updated | 01/13/2025 - More than a year ago |
| Identifiers | n/a |
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