MEDICARE: KENZY PRO T

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	:	1245012624
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KENZY PRO T

Provider Business Mailing Address
First Line	:	3246 NOE BIXBY RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-6361
Country	:	US
Telephone Number	:	614-867-6251
Fax Number	:

Provider Business Practice Location Address
First Line	:	3246 NOE BIXBY RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-6361
Country	:	US
Telephone Number	:	614-867-6251
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. YACINE BELMAHI
Credential	:
Telephone Number	:	614-867-6251

Provider Enumeration Date	:	10/19/2023
Last Update Date	:	10/19/2023

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Directions to “KENZY PRO T ” Practice Location

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