Kodiak Corporation

NPI #1386264026 in Frederick, Colorado

Provider Information

NPI Number: 1386264026
Entity Type: Organization
Organization Name: Kodiak Corporation
Primary Specialty: In Home Supportive Care
Enumeration Date: Apr 23, 2020
Last Updated: Jun 13, 2023

Practice Location

Address: 451 OAK ST STE 207
City: Frederick
State: Colorado
ZIP Code: 80530-7015
Phone: (720) 738-0044

Authorized Official

Name: CHARLES W. NEW JR.
Title: OWNER/PRESIDENT
Phone: (303) 915-9848

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X
Nursing Care	251J00000X
In Home Supportive Care	253Z00000X	Primary

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