Healthcare Provider Details
I. General information
NPI: 1932020906
Provider Name (Legal Business Name): AK JERSEY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2276 IRVINE RD
WINCHESTER KY
40391-7401
US
IV. Provider business mailing address
605 PIEDMONT AVE
ANDERSON SC
29625-3620
US
V. Phone/Fax
- Phone: 859-771-0128
- Fax: 859-771-0128
- Phone: 864-934-1172
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225000000X |
| Taxonomy | Orthotic Fitter |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
ASIF
B
REHMAN
Title or Position: OWNER
Credential:
Phone: 864-934-1172