MEDICARE: AKH TRANSPORT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1346931110
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AKH TRANSPORT

Provider Business Mailing Address
First Line	:	1245 ACCESS RD STE B
Second Line	:
City	:	COVINGTON
State	:	GA
Zip	:	30014-1900
Country	:	US
Telephone Number	:	855-834-1254
Fax Number	:

Provider Business Practice Location Address
First Line	:	1245 ACCESS RD STE B
Second Line	:
City	:	COVINGTON
State	:	GA
Zip	:	30014-1900
Country	:	US
Telephone Number	:	855-834-1254
Fax Number	:

Authorized Official
Title or Position	:	BOARD MEMBER
Name	:	CARLOS KYLES SR.
Credential	:
Telephone Number	:	737-298-3054

Provider Enumeration Date	:	05/15/2023
Last Update Date	:	05/15/2023

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Directions to “AKH TRANSPORT ” Practice Location

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