Healthcare Provider Details

I. General information

NPI: 1447089099
Provider Name (Legal Business Name): JKHT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2024
Last Update Date: 01/16/2025
Certification Date: 01/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 MILITARY TRL STE 108
JUPITER FL
33458-4811
US

IV. Provider business mailing address

4600 MILITARY TRL STE 108
JUPITER FL
33458-4811
US

V. Phone/Fax

Practice location:
  • Phone: 561-260-5555
  • Fax: 561-941-9347
Mailing address:
  • Phone: 561-260-5555
  • Fax: 561-941-9347

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: DR. KURT EVAN WALKER
Title or Position: AUDIOLOGIST
Credential: AU.D.
Phone: 319-329-2016