Healthcare Provider Details

I. General information

NPI: 1932029402
Provider Name (Legal Business Name): JK MARKETING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1181 IMPERIAL DR STE 101B
HAGERSTOWN MD
21740
US

IV. Provider business mailing address

1181 IMPERIAL DR STE 101B
HAGERSTOWN MD
21740
US

V. Phone/Fax

Practice location:
  • Phone: 240-850-4101
  • Fax: 240-850-4102
Mailing address:
  • Phone: 240-850-4101
  • Fax: 240-850-4102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JAMES ALBERT KODMAN
Title or Position: OWNER
Credential:
Phone: 724-717-2211