Healthcare Provider Details

I. General information

NPI: 1548436991
Provider Name (Legal Business Name): ABOVE AND BEYOND SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2008
Last Update Date: 05/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1427 W 86TH ST SUITE 198
INDIANAPOLIS IN
46260-2103
US

IV. Provider business mailing address

1427 W 86TH ST SUITE 198
INDIANAPOLIS IN
46260-2103
US

V. Phone/Fax

Practice location:
  • Phone: 317-257-0739
  • Fax: 317-255-4657
Mailing address:
  • Phone: 317-257-0739
  • Fax: 317-255-4657

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: MR. KEITH L. WALKER SR.
Title or Position: PRESIDENT
Credential:
Phone: 317-257-0739