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General NPI Number Information
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NPI Number | 1730680414
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Entity Type | Organization
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Legal Business Name | KJK LLC
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Dates
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Enumeration Date | 02/27/2018
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 2340 FAIRVIEW BLVD. SUITE 300
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City | FAIRVIEW
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State | TN
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Zip | 37062
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Country | US
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Telephone | 615-446-8043
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Fax | 615-446-7556
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Provider Business Mailing Address
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Address Line | 2340 FAIRVIEW BLVD. SUITE 300
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City | FAIRVIEW
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State | TN
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Zip | 37062
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Country | US
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Telephone | 615-387-9000
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Fax | 615-266-2362
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Authorized Official
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Title or Position | CFO, OWNER, PHARMD
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Name | CHRISTOPHER PAUL KONECNY
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Credential |
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Telephone | 732-580-5805
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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