MEDICARE: B&K MEDICAL OF JUNCTION CITY 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
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1548981228
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	B&K MEDICAL OF JUNCTION CITY LLC

Provider Business Mailing Address
First Line	:	601 E IRON AVE
Second Line	:
City	:	SALINA
State	:	KS
Zip	:	67401-3035
Country	:	US
Telephone Number	:	785-827-4455
Fax Number	:

Provider Business Practice Location Address
First Line	:	1310 W ASH ST STE D
Second Line	:
City	:	JUNCTION CITY
State	:	KS
Zip	:	66441-3466
Country	:	US
Telephone Number	:	785-762-2983
Fax Number	:	785-238-2685

Authorized Official
Title or Position	:	GENERAL MANAGER
Name	:	LEROY BURKS
Credential	:
Telephone Number	:	785-827-4455

Provider Enumeration Date	:	09/09/2022
Last Update Date	:	06/13/2023

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