Keithmedtransportationllc
NPI #1093345084 in Ponchatoula, Louisiana
Provider Information
- NPI Number
- 1093345084
- Entity Type
- Organization
- Organization Name
- Keithmedtransportationllc
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Jan 19, 2020
- Last Updated
- Jan 19, 2020
Practice Location
- Address
- 522 PONDEROSA DR
- City
- Ponchatoula
- State
- Louisiana
- ZIP Code
- 70454-9428
- Phone
- (504) 339-1372
Authorized Official
- Name
- MR. KEITH JHON GAINES SR.
- Title
- TRANSPORTATION PROVIDER
- Phone
- (504) 339-1372
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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