Healthcare Provider Details

I. General information

NPI: 1841019601
Provider Name (Legal Business Name): KERN MEDICAL TRANSPORT INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2024
Last Update Date: 12/03/2024
Certification Date: 12/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2915 CRESCENT RIDGE ST
BAKERSFIELD CA
93313-5602
US

IV. Provider business mailing address

2915 CRESCENT RIDGE ST
BAKERSFIELD CA
93313-5602
US

V. Phone/Fax

Practice location:
  • Phone: 661-677-1702
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: JAPTESHWAR GILL
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 661-677-1702