MEDICARE: KENNETH LAMAR DAY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1114808169
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENNETH LAMAR DAY

Provider Business Mailing Address
First Line	:	24040 COLUMBUS RD
Second Line	:
City	:	BEDFORD HEIGHTS
State	:	OH
Zip	:	44146-2972
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	24040 COLUMBUS RD
Second Line	:
City	:	BEDFORD HEIGHTS
State	:	OH
Zip	:	44146-2972
Country	:	US
Telephone Number	:	216-390-6200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2025
Last Update Date	:	09/08/2025

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