Healthcare Provider Details

I. General information

NPI: 1356251714
Provider Name (Legal Business Name): KELKO NEMT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

236 PATILLO ROAD
STOCKBRIDGE GA
30281
US

IV. Provider business mailing address

236 PATILLO RD
STOCKBRIDGE GA
30281-1414
US

V. Phone/Fax

Practice location:
  • Phone: 229-376-4375
  • Fax:
Mailing address:
  • Phone: 229-376-4375
  • 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: MARKELYON FRAZIER
Title or Position: OWNER
Credential: CEO
Phone: 229-376-4375