Tkmd LLC

NPI #1558619411 in Basalt, Colorado

Provider Information

NPI Number: 1558619411
Entity Type: Organization
Organization Name: Tkmd LLC
Primary Specialty: Family Medicine
Enumeration Date: Aug 27, 2012
Last Updated: Oct 9, 2012

Practice Location

Address: 1460 E VALLEY RD
Address 2: SUITE 160
City: Basalt
State: Colorado
ZIP Code: 81621-8411
Phone: (970) 927-8563

Authorized Official

Name: DR. TIMOTHY RICHARD KRUSE, MD
Title: OWNER
Phone: (970) 927-8563

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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