Provider Demographics
NPI:1073155842
Name:M&K BIEMAN ENTERPRISES, LLC
Entity Type:Organization
Organization Name:M&K BIEMAN ENTERPRISES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:D
Authorized Official - Last Name:BIEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-516-9184
Mailing Address - Street 1:8044 BLADES TRL
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:NC
Mailing Address - Zip Code:28037-9151
Mailing Address - Country:US
Mailing Address - Phone:704-516-9184
Mailing Address - Fax:
Practice Address - Street 1:4822 ALBEMARLE RD STE 280-A
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28205-6668
Practice Address - Country:US
Practice Address - Phone:704-516-9184
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-14
Last Update Date:2019-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care