Organization
KCJSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J. S. ERICKSON RPH,PD (PRESIDENT)
(816) 632-7211
Entity
Organization
Contact information
Practice address
610 NORTH WALNUT, CAMERON, MO 64429
(816) 632-7211
(816) 632-3645
Mailing address
610 NORTH WALNUT, CAMERON, MO 64429
(816) 632-7211
(816) 632-3645
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
004493
MO
Other
Enumeration date
12/11/2006
Last updated
08/22/2020
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