Healthcare Provider Details

I. General information

NPI: 1013043470
Provider Name (Legal Business Name): ACSR, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 09/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1430 MAIN ST S
BROWNSVILLE KY
42210
US

IV. Provider business mailing address

400 REDLAND CT SUITE 114
OWINGS MILLS MD
21117-3270
US

V. Phone/Fax

Practice location:
  • Phone: 270-597-8387
  • Fax: 270-597-8389
Mailing address:
  • Phone: 443-548-2200
  • Fax: 443-548-2260

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: KRIS W. BALDOCK
Title or Position: CHAIRMAN, CEO, PRESIDENT
Credential:
Phone: 443-548-2201