Organization
K & L CONTRACTING SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KURTLAND C FANCETT (PRESIDENT)
(937) 631-5799
Entity
Organization
Contact information
Practice address
134 E 2ND ST, SPRINGFIELD, OH 45504-1449
(937) 631-5799
Mailing address
134 E 2ND ST, SPRINGFIELD, OH 45504-1449
(937) 631-5799
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0083706
OHIO DEPARTMENT OF JOBS AND FAMILY SERVICES
OH
Enumeration date
01/04/2014
Last updated
09/23/2014
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