Provider Demographics
NPI:1699921551
Name:JKR LABS, INC.
Entity type:Organization
Organization Name:JKR LABS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINSTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:BRADSHAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-444-4547
Mailing Address - Street 1:10701 W KELLOGG ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67209-1221
Mailing Address - Country:US
Mailing Address - Phone:888-844-2497
Mailing Address - Fax:316-722-5908
Practice Address - Street 1:8600 WARD PKWY
Practice Address - Street 2:SUITE 2080
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-2614
Practice Address - Country:US
Practice Address - Phone:816-444-4547
Practice Address - Fax:816-444-2892
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JKR LABS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-08-12
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty