# KACZOR ENTERPRISES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** U. S. Ambulance EMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194140103
- **Authorized official:** JOHN R KEANON (CEO)
- **Authorized official phone:** (912) 592-3643

## Contact information

- **Practice address:** 55 DELLMONTE RD, DOUGLAS, GA 31535-6135
- **Practice address phone:** (912) 592-3643
- **Practice address fax:** (912) 393-1011
- **Mailing address:** 2236 MCKINNON RD, DOUGLAS, GA 31535-3102
- **Mailing address phone:** (912) 592-3643
- **Mailing address fax:** (912) 393-1011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 034-02 | GA | Yes |

## Other

- **Enumeration date:** 02/27/2014
- **Last updated:** 10/21/2014