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NPI Code Detail

MEDICARE: MKBS LLC

MEDICARE: MKBS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1344600000XTaxi20041037277CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023499225
Entity Type Code : Organization
Provider Name (Legal Business Name) : MKBS LLC
Provider Business Mailing Address
First Line : 5909 E 38TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80207-1252
Country : US
Telephone Number : 303-336-9116
Fax Number : 303-336-9007
Provider Business Practice Location Address
First Line : 5909 E 38TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80207-1252
Country : US
Telephone Number : 303-336-9116
Fax Number : 303-336-9007
Authorized Official
Title or Position : GENERAL MANAGER
Name : KYLE BROWN
Credential :
Telephone Number : 303-336-9000
Provider Enumeration Date : 06/12/2015
Last Update Date : 06/12/2015

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Directions to “MKBS LLC ” Practice Location

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