Organization
TWIN CITY AMBULANCE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN M KELLEY (DIRECTOR)
(270) 472-8342
Entity
Organization
Contact information
Practice address
105 NOLAN AVE, FULTON, KY 42041-8220
(731) 571-2920
(270) 744-8647
Mailing address
105 NOLAN AVE, FULTON, KY 42041-8220
(731) 571-2920
(270) 744-8647
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1007
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
406590094
RR MEDICARE
—
05
—
55000525
—
KY
05
—
56020118
—
KY
Enumeration date
07/04/2005
Last updated
05/09/2022
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