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NPI Code Detail

MEDICARE: EAZY IV, LLC

MEDICARE: EAZY IV, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QI0500XInfusion Therapy Clinic/Center

General Provider Information

NPI Number : 1427845155
Entity Type Code : Organization
Provider Name (Legal Business Name) : EAZY IV, LLC
Provider Business Mailing Address
First Line : 62 E FRANKLIN ST
Second Line :
City : CENTERVILLE
State : OH
Zip : 45459-5914
Country : US
Telephone Number : 937-918-3299
Fax Number : 937-619-8340
Provider Business Practice Location Address
First Line : 62 E FRANKLIN ST
Second Line :
City : CENTERVILLE
State : OH
Zip : 45459-5914
Country : US
Telephone Number : 937-918-3299
Fax Number : 937-619-8340
Authorized Official
Title or Position : OWNER
Name : BRITTANY KAFKA
Credential : APRN, FNP-BC
Telephone Number : 937-918-3299
Provider Enumeration Date : 04/24/2025
Last Update Date : 11/25/2025

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Directions to “EAZY IV, LLC ” Practice Location

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