Provider Demographics
NPI:1891424420
Name:MKBS LLC
Entity Type:Organization
Organization Name:MKBS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:EWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-336-9000
Mailing Address - Street 1:5909 E 38TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80207-1252
Mailing Address - Country:US
Mailing Address - Phone:303-336-9132
Mailing Address - Fax:
Practice Address - Street 1:5909 E 38TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80207-1252
Practice Address - Country:US
Practice Address - Phone:303-336-9132
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-08
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO79928714Medicaid