Healthcare Provider Details

I. General information

NPI: 1427845155
Provider Name (Legal Business Name): EAZY IV, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2025
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

62 E FRANKLIN ST
CENTERVILLE OH
45459-5914
US

IV. Provider business mailing address

62 E FRANKLIN ST
CENTERVILLE OH
45459-5914
US

V. Phone/Fax

Practice location:
  • Phone: 937-918-3299
  • Fax: 937-619-8340
Mailing address:
  • Phone: 937-918-3299
  • Fax: 937-619-8340

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: BRITTANY KAFKA
Title or Position: OWNER
Credential: APRN, FNP-BC
Phone: 937-918-3299