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General NPI Number Information
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NPI Number | 1326634783
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Entity Type | Organization
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Legal Business Name | KMT HOLDINGS LLC
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Dates
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Enumeration Date | 12/18/2020
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Last Update Date | 01/24/2023
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Provider Practice Location Address
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Address Line | 8111 E LOWRY BLVD STE 230
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City | DENVER
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State | CO
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Zip | 80230-7255
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Country | US
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Telephone | 650-796-4718
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Fax |
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Provider Business Mailing Address
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Address Line | 8111 E LOWRY BLVD STE 230
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City | DENVER
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State | CO
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Zip | 80230-7255
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Country | US
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Telephone | 650-796-4718
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | KAREN LOUGHLIN
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Credential |
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Telephone | 650-796-4718
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number |
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License Number State |
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