Provider Demographics
NPI:1073384962
Name:TKS CLINICAL SERVICES LLC
Entity Type:Organization
Organization Name:TKS CLINICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:
Authorized Official - Last Name:SOREMEKUM
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:720-300-0427
Mailing Address - Street 1:4809 ARGONNE ST STE 225
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80249-6801
Mailing Address - Country:US
Mailing Address - Phone:720-300-0427
Mailing Address - Fax:720-583-2110
Practice Address - Street 1:4809 ARGONNE ST STE 225
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80249-6801
Practice Address - Country:US
Practice Address - Phone:720-300-0427
Practice Address - Fax:720-583-2110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-10
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty