Organization
K & W MEDICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN SMITH (EXECUTIVE DIRECTOR)
(717) 272-1234
Entity
Organization
Contact information
Practice address
254 S 11TH ST, LEBANON, PA 17042-5918
(717) 272-1234
(717) 270-2875
Mailing address
254 S 11TH ST, LEBANON, PA 17042-5918
(717) 272-1234
(717) 270-2875
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
05001
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017651150006
—
PA
01
—
1035966
GATEWAY HEALTH PLAN
PA
01
—
248062
PA BLUE SHIELD HIGHMARK
PA
01
—
590013358
PALMETTO RR MEDICARE
PA
Enumeration date
06/15/2006
Last updated
06/25/2008
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