Active NPI
My Kit Free LLC
- Public Health or Welfare Agency
- Trenton, MI
National Provider Identifier
1114627635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- MY KIT FREE LLC
- Practice address
- 5400 Fort St Ste 210
Trenton, MI 48183-4630 - Phone
- (734) 676-5353
- Fax
- (855) 552-3776
- NPI assigned
- Mar 3, 2023
- Last updated
- Apr 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher Kozlow
- Title
- Authorized Official/Manager
- Phone
- (606) 691-0366
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | NU | Primary |
Addresses
Primary practice location
5400 Fort St Ste 210
Trenton, MI 48183-4630
Mailing address
6833 S Dayton St # 255
Greenwood Village, CO 80112-3624
Phone (606) 691-0366
Other practice location 1
1040 S Federal Blvd
Denver, CO 80219-4102
Phone (606) 691-0366
Other practice location 2
6707 38th Ave N
St Petersburg, FL 33710-1536
Phone (727) 800-9958
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1040 S Federal Blvd
Denver, CO 80219
Phone (606) 691-0366
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Colon & Rectal Surgery Physician
- Trenton, MI
- NPI 1710979869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677801600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681344000000",
"number": "1114627635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6833 S DAYTON ST # 255",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "801123624",
"telephone_number": "606-691-0366",
"fax_number": "606-328-6128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 FORT ST STE 210",
"city": "TRENTON",
"state": "MI",
"postal_code": "481834630",
"telephone_number": "734-676-5353",
"fax_number": "855-552-3776"
}
],
"practiceLocations": [
{
"address_1": "1040 S Federal Blvd",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802194102",
"country_code": "US",
"telephone_number": "606-691-0366",
"fax_number": "606-328-6128",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6707 38th Ave N",
"address_purpose": "LOCATION",
"city": "St Petersburg",
"state": "FL",
"postal_code": "337101536",
"country_code": "US",
"telephone_number": "727-800-9958",
"fax_number": "855-552-3776",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MY KIT FREE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-03",
"last_updated": "2023-04-13",
"certification_date": "2023-04-05",
"status": "A",
"authorized_official_last_name": "KOZLOW",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL/MANAGER",
"authorized_official_telephone_number": "606-691-0366"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trenton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.