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Organization
JK MEDICAL SUPPLIES LLC
Active
Organization
JK MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMAL KHATTAK (OWNER)
(571) 222-5829
Entity
Organization
Contact information
Practice address
6569 EDSALL RD, SPRINGFIELD, VA 22151-4414
(571) 222-5829
(571) 351-6081
Mailing address
6569 EDSALL RD, SPRINGFIELD, VA 22151-4414
(571) 222-5829
(571) 351-6081
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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