# KINDRED CARE MEDICAL TRANSPORT CORP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KINDRED CARE MEDICAL TRANSPORT CORP
- **Other names:** Kindred Care Medical Transport Corp
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1417746249
- **Legal business name:** KINDRED CARE MEDICAL TRANSPORT CORP
- **Authorized official:** SHIRMAUL ANDREW RICHARD WILSON (CEO)
- **Authorized official phone:** (770) 344-7696

## Contact information

- **Practice address:** 3772 PLEASANTDALE RD STE 148, ATLANTA, GA 30340-5678
- **Practice address phone:** (770) 344-7696
- **Practice address fax:** (404) 228-9277
- **Mailing address:** 3772 PLEASANTDALE RD STE 148, ATLANTA, GA 30340-5678
- **Mailing address phone:** (770) 344-7696
- **Mailing address fax:** (404) 228-9277

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 05/06/2025
- **Last updated:** 05/06/2025