Provider Demographics
NPI:1194924019
Name:K4 CONSULTING
Entity type:Organization
Organization Name:K4 CONSULTING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MATT
Authorized Official - Middle Name:
Authorized Official - Last Name:KRUSOE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-427-2309
Mailing Address - Street 1:311 E COUNTY LINE RD UNIT A14
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80122-8103
Mailing Address - Country:US
Mailing Address - Phone:720-428-0062
Mailing Address - Fax:
Practice Address - Street 1:311 E COUNTY LINE RD UNIT A14
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-8103
Practice Address - Country:US
Practice Address - Phone:720-428-0062
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-11
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies