Organization
KERMIT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED O NASR (MANAGER/OWNER)
(480) 401-8371
Entity
Organization
Contact information
Practice address
2148 W LAUREL LN, PHOENIX, AZ 85029-3506
(480) 401-8371
Mailing address
2148 W LAUREL LN, PHOENIX, AZ 85029-3506
(480) 401-8371
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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