Healthcare Provider Details

I. General information

NPI: 1922917798
Provider Name (Legal Business Name): D&K HEALTHCARE GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2026
Last Update Date: 09/05/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 DEVILS BOTTOM RD
LANCASTER VA
22503-2233
US

IV. Provider business mailing address

201 DEVILS BOTTOM RD
LANCASTER VA
22503-2233
US

V. Phone/Fax

Practice location:
  • Phone: 804-480-9143
  • Fax:
Mailing address:
  • Phone: 804-480-9143
  • 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: DOMINQUE KENYA JOHNSON
Title or Position: OWNER
Credential: BSN, RN
Phone: 804-480-9143