Organization
KEITHMEDTRANSPORTATIONLLC
Active
Organization
KEITHMEDTRANSPORTATIONLLC
Active
Other names
keithmedtransportationllc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH JHON GAINES SR. (TRANSPORTATION PROVIDER)
(504) 339-1372
Entity
Organization
Contact information
Practice address
522 PONDEROSA DR, PONCHATOULA, LA 70454-9428
(504) 339-1372
(985) 370-2056
Mailing address
522 PONDEROSA DR, PONCHATOULA, LA 70454-9428
(504) 339-1372
(985) 370-2056
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/19/2020
Last updated
01/19/2020
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