# KINGSWAY MEDICAL TRANSPORT LLC

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

## Provider details

- **NPI number:** 1457995003
- **Authorized official:** MR. RAY LANHAM (OWNER)
- **Authorized official phone:** (937) 763-9983

## Contact information

- **Practice address:** 938 W MAIN ST STE 1, HILLSBORO, OH 45133-7656
- **Practice address phone:** (937) 402-4070
- **Practice address fax:** (614) 890-7374
- **Mailing address:** 9970 E PROSPECT RD, HILLSBORO, OH 45133-8910
- **Mailing address phone:** (937) 763-9983
- **Mailing address fax:** (614) 890-7374

## Taxonomy

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

## Other

- **Enumeration date:** 11/06/2019
- **Last updated:** 11/06/2019