# JERRY IKE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KENLINK MEDICAL EQUIPMENT & SUPPLIE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154312148
- **Authorized official:** MR. JERRY J IKE (PRESIDENT)
- **Authorized official phone:** (972) 262-7752

## Contact information

- **Practice address:** 2306 OAK LN., STE 16, GRAND PRAIRIE, TX 75051
- **Practice address phone:** (972) 262-7752
- **Practice address fax:** (972) 237-0430
- **Mailing address:** 2306 OAK LN., STE 16, GRAND PRAIRIE, TX 75051
- **Mailing address phone:** (972) 262-7752
- **Mailing address fax:** (972) 237-0430

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0071940 | TX | Yes |

## Other

- **Enumeration date:** 10/31/2005
- **Last updated:** 11/23/2010