| Mkosmo, LLC | |
|
9524 Wey Bridge Dr Fort Smith AR 72916-7007 | |
| (786) 623-8293 | |
| Not Available |
| Full Name | Mkosmo, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 9524 Wey Bridge Dr, Fort Smith, Arkansas |
| Authorized Official Name and Position | Malik Shahid (OWNER) |
| Authorized Official Contact | 7866238293 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mkosmo, LLC 9524 Wey Bridge Dr Fort Smith AR 72916-7007 | Mkosmo, LLC 9524 Wey Bridge Dr Fort Smith AR 72916-7007 Ph: (786) 623-8293 |
| NPI Number | 1871106476 |
|---|---|
| Provider Enumeration Date | 08/25/2020 |
| Last Update Date | 08/25/2020 |
| Certification Date | 08/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871106476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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