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Kingdom Medical Transportation

Non-emergency Medical Transport (VAN) in Woodbridge, VA. Organization (NPI-2).

NPI number1194278317
StatusActive
Last updated in NPPESJul 25, 2016

Details

NPI
1194278317
Entity type
Organization (NPI-2)
Legal business name
Kingdom Medical Transportation
Organization subpart
No
Enumeration date
Jul 25, 2016
Last updated
Jul 25, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
343900000X Non-emergency Medical Transport (VAN)––Yes

Practice location

16510 Bobster Ct
Woodbridge, VA 22191-6316

Phone 703-597-6529

Mailing address

16510 Bobster Ct
Woodbridge, VA 22191-6316

Phone 703-597-6529

Authorized official

Abena Fynn
Administrator
7035976529

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