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General NPI Number Information
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NPI Number | 1104765940
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Entity Type | Organization
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Legal Business Name | JKM DME INC
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Dates
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Enumeration Date | 03/26/2026
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Last Update Date | 03/26/2026
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Provider Practice Location Address
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Address Line | 204 NE 91ST ST
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City | KANSAS CITY
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State | MO
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Zip | 64155-3374
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Country | US
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Telephone | 913-521-2333
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Fax | 913-521-2336
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Provider Business Mailing Address
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Address Line | 2 W 18TH ST
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City | FORT SCOTT
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State | KS
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Zip | 66701-3177
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Country | US
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Telephone | 620-223-4141
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | KIMBERLY K PHILLIPS
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Credential |
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Telephone | 620-223-4141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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