Provider Demographics
NPI:1952795270
Name:CLK CONSTRUCTION, INC.
Entity Type:Organization
Organization Name:CLK CONSTRUCTION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:L
Authorized Official - Last Name:KEMPA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-309-6975
Mailing Address - Street 1:PO BOX 89
Mailing Address - Street 2:
Mailing Address - City:BENT MOUNTAIN
Mailing Address - State:VA
Mailing Address - Zip Code:24059-0089
Mailing Address - Country:US
Mailing Address - Phone:540-309-6975
Mailing Address - Fax:540-929-4273
Practice Address - Street 1:107 KEMPA DRIVE, NE
Practice Address - Street 2:
Practice Address - City:COPPER HILL
Practice Address - State:VA
Practice Address - Zip Code:24079
Practice Address - Country:US
Practice Address - Phone:540-309-6975
Practice Address - Fax:540-929-4273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-25
Last Update Date:2015-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2705075085A332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies