Organization
JKM ENTERPRISES LLC
Active
Other names
Yale Surgical/Kaylore Shoes
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA L TULLO (OFFICE MANAGER)
(203) 372-7112
Entity
Organization
Contact information
Practice address
4007 MAIN ST, BRIDGEPORT, CT 06606-2707
(203) 372-7112
Mailing address
4007 MAIN ST, BRIDGEPORT, CT 06606-2707
(203) 372-7112
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
11/19/2007
Last updated
11/19/2007
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