Organization
KENNEDI TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANYA C BROWN (CFO/OWNER)
(802) 776-8986
Entity
Organization
Contact information
Practice address
5962 EDGELAKE DR, VIRGINIA BEACH, VA 23464-4904
(802) 776-8986
Mailing address
5962 EDGELAKE DR, VIRGINIA BEACH, VA 23464-4904
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
344600000X
Taxi
—
—
347B00000X
Bus
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
05/18/2019
Last updated
05/18/2019
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