Provider Demographics
NPI:1336399468
Name:KZ MEDICAL, LLC
Entity Type:Organization
Organization Name:KZ MEDICAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BRITTENHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-709-8950
Mailing Address - Street 1:2378 HOMESTEAD PL
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80504-6260
Mailing Address - Country:US
Mailing Address - Phone:303-709-8950
Mailing Address - Fax:303-317-8138
Practice Address - Street 1:100 PARK AVE W
Practice Address - Street 2:SUITE 1402
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-3200
Practice Address - Country:US
Practice Address - Phone:303-709-8950
Practice Address - Fax:303-317-8138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-25
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies