Provider Demographics
NPI:1275966087
Name:JK TRAINER, INC
Entity type:Organization
Organization Name:JK TRAINER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:KLEMKE
Authorized Official - Suffix:
Authorized Official - Credentials:CFO
Authorized Official - Phone:402-606-4204
Mailing Address - Street 1:4508 38TH ST STE 128
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:NE
Mailing Address - Zip Code:68601-1668
Mailing Address - Country:US
Mailing Address - Phone:402-606-4204
Mailing Address - Fax:402-606-4210
Practice Address - Street 1:4508 38TH ST STE 128
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NE
Practice Address - Zip Code:68601-1668
Practice Address - Country:US
Practice Address - Phone:402-606-4204
Practice Address - Fax:402-606-4210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-15
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies