Provider Demographics
NPI:1003697731
Name:JKM DME, INC
Entity Type:Organization
Organization Name:JKM DME, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:K
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-223-4141
Mailing Address - Street 1:2 W 18TH ST
Mailing Address - Street 2:
Mailing Address - City:FORT SCOTT
Mailing Address - State:KS
Mailing Address - Zip Code:66701-3177
Mailing Address - Country:US
Mailing Address - Phone:620-223-4141
Mailing Address - Fax:620-223-4144
Practice Address - Street 1:7329 W 97TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-2210
Practice Address - Country:US
Practice Address - Phone:913-381-2508
Practice Address - Fax:913-333-3935
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JKM DME, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-10-09
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies