Individual provider · NPI-1

Kent L Perkins

Non-emergency Medical Transport (VAN) · Milwaukee, WI

NPI number1992055925
StatusActive
Last updated in NPPESJan 3, 2014

Details

NPI
1992055925
Entity type
Individual (NPI-1)
Name
Mr. Kent L Perkins
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 18, 2012
Last updated
Jan 3, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
343900000X Non-emergency Medical Transport (VAN)37-1659913WIYes
146L00000X Emergency Medical Technician, Paramedic146l00000xWI

Practice location

4262 N 89th St
Milwaukee, WI 53222-1759

Phone 414-510-9246 · Fax 414-939-7110

Mailing address

4262 N 89th St
Milwaukee, WI 53222-1759

Phone 414-510-9246 · Fax 414-939-7110

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