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
1	344600000X	Taxi

Other Identifiers

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

General Provider Information

NPI Number	:	1891424420
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	:	303-336-9132
Fax Number	:

Provider Business Practice Location Address
First Line	:	5909 E 38TH AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80207-1252
Country	:	US
Telephone Number	:	303-336-9132
Fax Number	:

Authorized Official
Title or Position	:	ACCOUNTING MANAGER
Name	:	LAURA EWELL
Credential	:
Telephone Number	:	303-336-9000

Provider Enumeration Date	:	06/08/2022
Last Update Date	:	06/08/2022

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