Provider Demographics
NPI:1518743004
Name:N AND K LLC
Entity Type:Organization
Organization Name:N AND K LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TEODROS
Authorized Official - Middle Name:Z
Authorized Official - Last Name:GEZAHEGN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-251-1667
Mailing Address - Street 1:5547 LAREDO WAY
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80239-7019
Mailing Address - Country:US
Mailing Address - Phone:720-251-1667
Mailing Address - Fax:
Practice Address - Street 1:2175 ACADEMY CIR STE 200-4
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-1695
Practice Address - Country:US
Practice Address - Phone:720-251-1667
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-31
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)