Organization
KD MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARC KRYZANOWSKI (OWNER)
(720) 747-5395
Entity
Organization
Contact information
Practice address
1925 S ROSEMARY ST, SUITE D, DENVER, CO 80231-3238
(720) 747-5395
Mailing address
8188 S MEMPHIS WAY, ENGLEWOOD, CO 80112-4625
(720) 323-4727
(303) 690-5654
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
40498.20000
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
73533785
—
CO
Enumeration date
09/28/2006
Last updated
08/22/2020
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