# JKM ENTERPRISES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Yale Surgical/Kaylore Shoes
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396926333
- **Authorized official:** MRS. ANDREA L TULLO (OFFICE MANAGER)
- **Authorized official phone:** (203) 372-7112

## Contact information

- **Practice address:** 4007 MAIN ST, BRIDGEPORT, CT 06606-2707
- **Practice address phone:** (203) 372-7112
- **Mailing address:** 4007 MAIN ST, BRIDGEPORT, CT 06606-2707
- **Mailing address phone:** (203) 372-7112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 11/19/2007
- **Last updated:** 11/19/2007