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Organization
KNEVITT INC
Active
Organization
KNEVITT INC
Active
Other names
Air & Medical Emergency Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY KNEVITT (OWNER)
16185480001
Entity
Organization
Contact information
Practice address
3340 SELMAVILLE RD, SALEM, IL 62881
(618) 548-0001
(618) 548-0003
Mailing address
3340 SELMAVILLE RD, SALEM, IL 62881
(618) 548-0001
(618) 548-0003
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
5 5234
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006132012
BLUECROSS BLUESHIELD OF I
IL
Enumeration date
01/03/2007
Last updated
04/20/2008
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