| Tkmd Llc | |
|
1460 E Valley Rd Suite 160 Basalt CO 81621-8411 | |
| (970) 927-8563 | |
| (970) 208-1675 |
| Full Name | Tkmd Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1460 E Valley Rd, Basalt, Colorado |
| Authorized Official Name and Position | Timothy Richard Kruse (OWNER) |
| Authorized Official Contact | 9709278563 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tkmd Llc 1460 E Valley Rd Suite 160 Basalt CO 81621-8411 Ph: (970) 927-8563 | Tkmd Llc 1460 E Valley Rd Suite 160 Basalt CO 81621-8411 Ph: (970) 927-8563 |
| NPI Number | 1558619411 |
|---|---|
| Provider Enumeration Date | 08/27/2012 |
| Last Update Date | 10/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558619411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 37271 (Colorado) | Primary |
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