Individual ProviderMarian Kaye KnudsonSocial WorkerBehavioral Health & Social Service ProvidersPractice Address5802 S 900 E # 5, Murray, UT 84121-1644(801) 671-3894PECOS EnrollmentThis provider is enrolled in PECOS as MARIAN KNUDSON.Based on the most recent information from CMS, provider Marian Kaye Knudson is legally eligible to order and refer claims for DME services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1538131461Provider TypeIndividualFull NameKnudson, Marian KayeTitleMs.CredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date2/4/2006Last Updated9/30/2019Contact InformationPractice LocationPractice Address5802 S 900 E # 5, Murray, UT 84121-1644Phone(801) 671-3894FaxUnlisted FaxMailing LocationMailing Address5802 S 900 E # 5, Murray, UT 84121-1644Phone(801) 671-3894FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense137390-3501UtahProvider IdentifiersIDDescriptionIssuerID13739035000001DescriptionOtherIssuerBLUE CROSSUtah