# K&P MEDICAL TRANSPORT LTD.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104369206
- **Authorized official:** MR. ADAM ROBERT WAGNER (VICE PRESIDENT)
- **Authorized official phone:** (419) 785-3246

## Contact information

- **Practice address:** 25288 ELLIOTT RD, DEFIANCE, OH 43512-9003
- **Practice address phone:** (419) 785-3246
- **Practice address fax:** (419) 782-6478
- **Mailing address:** 25288 ELLIOTT RD, DEFIANCE, OH 43512-9003
- **Mailing address phone:** (419) 785-3246
- **Mailing address fax:** (419) 782-6478

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | NULL | — |
| 3416L0300X | Land Ambulance | — | NULL | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |

## Other

- **Enumeration date:** 11/22/2016
- **Last updated:** 10/22/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0385682 | — | OH |