MEDICARE: BJK, 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	74	OK

General Provider Information

NPI Number	:	1861554016
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BJK, LLC

Provider Business Mailing Address
First Line	:	8222 E 103RD ST STE 132
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74133-7027
Country	:	US
Telephone Number	:	918-369-4848
Fax Number	:	918-369-4849

Provider Business Practice Location Address
First Line	:	5521 E 41ST ST
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74135-6008
Country	:	US
Telephone Number	:	918-622-7272
Fax Number	:	918-622-7276

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. KATHARINE G. KUNTZ
Credential	:	CERTIFIED PEDORTHIST
Telephone Number	:	918-488-6150

Provider Enumeration Date	:	12/14/2006
Last Update Date	:	08/22/2020

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