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NPI Code Detail

MEDICARE: K&L TRANSPORT

MEDICARE: K&L TRANSPORT
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
1343900000XNon-emergency Medical Transport (VAN)108566371MI

General Provider Information

NPI Number : 1851777163
Entity Type Code : Organization
Provider Name (Legal Business Name) : K&L TRANSPORT
Provider Business Mailing Address
First Line : 1015 AGARD AVE
Second Line :
City : BENTON HARBOR
State : MI
Zip : 49022-4045
Country : US
Telephone Number : 269-325-2861
Fax Number : 269-925-4360
Provider Business Practice Location Address
First Line : 1015 AGARD AVE
Second Line :
City : BENTON HARBOR
State : MI
Zip : 49022-4045
Country : US
Telephone Number : 269-325-2861
Fax Number : 269-925-4360
Authorized Official
Title or Position : OWNER
Name : CARL VARRIE
Credential :
Telephone Number : 269-325-2861
Provider Enumeration Date : 08/10/2015
Last Update Date : 08/10/2015

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Directions to “K&L TRANSPORT ” Practice Location

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