Provider Demographics
NPI:1487400289
Name:KJZ PROTOCOL PLLC
Entity type:Organization
Organization Name:KJZ PROTOCOL PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:JEROME-ZAPADKA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:878-208-0288
Mailing Address - Street 1:1002 EMERYVILLE RD
Mailing Address - Street 2:
Mailing Address - City:MARS
Mailing Address - State:PA
Mailing Address - Zip Code:16046-4404
Mailing Address - Country:US
Mailing Address - Phone:878-208-0288
Mailing Address - Fax:
Practice Address - Street 1:1002 EMERYVILLE RD
Practice Address - Street 2:
Practice Address - City:MARS
Practice Address - State:PA
Practice Address - Zip Code:16046-4404
Practice Address - Country:US
Practice Address - Phone:878-208-0288
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-24
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No2083B0002XAllopathic & Osteopathic PhysiciansPreventive MedicineObesity MedicineGroup - Multi-Specialty