Healthcare Provider Details

I. General information

NPI: 1063103638
Provider Name (Legal Business Name): KEVAL TRANSPORTATION SERVICE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2023
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701B FERRY CUT OFF ST
HISTORIC NEW CASTLE DE
19720-5063
US

IV. Provider business mailing address

410 JOHN VINEYARDS LN
NEW CASTLE DE
19720-8729
US

V. Phone/Fax

Practice location:
  • Phone: 302-367-9564
  • Fax:
Mailing address:
  • Phone: 302-367-9564
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. KEVIN A GARDNER
Title or Position: CEO
Credential:
Phone: 302-529-0668