Healthcare Provider Details

I. General information

NPI: 1346282761
Provider Name (Legal Business Name): K-S PERSONAL TRANSPORT, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 12/20/2023
Certification Date: 12/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

94 MAIN ST
OXFORD MA
01540-2823
US

IV. Provider business mailing address

PO BOX 325
OXFORD MA
01540-0325
US

V. Phone/Fax

Practice location:
  • Phone: 508-987-2254
  • Fax: 508-987-2254
Mailing address:
  • Phone: 508-987-2254
  • Fax: 508-987-2254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number3957
License Number StateMA

VIII. Authorized Official

Name: MR. DAVID KREVOSKY
Title or Position: PRESIDENT
Credential:
Phone: 508-987-2254