Provider Demographics
NPI:1316590177
Name:JK MARKETING, LLC
Entity Type:Organization
Organization Name:JK MARKETING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:KODMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-717-2211
Mailing Address - Street 1:280 INDIAN SPRINGS RD STE 131
Mailing Address - Street 2:
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-3676
Mailing Address - Country:US
Mailing Address - Phone:724-717-2211
Mailing Address - Fax:844-478-8267
Practice Address - Street 1:4 HARTMAN PLAZA
Practice Address - Street 2:
Practice Address - City:BUCKHANNON
Practice Address - State:WV
Practice Address - Zip Code:26201
Practice Address - Country:US
Practice Address - Phone:724-717-2211
Practice Address - Fax:844-478-8267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-22
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy