Organization
KELLEY'S AMBULANCE SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEY DEWAYNE KELLEY EMT-B (OWNER)
(251) 368-5915
Entity
Organization
Contact information
Practice address
212 N MAIN ST, ATMORE, AL 36502-1714
(251) 368-5915
(251) 368-6161
Mailing address
PO BOX 530, ATMORE, AL 36504-0530
(215) 368-5915
(251) 368-6161
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
899
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51525686
BCBSAL
AL
Enumeration date
08/25/2006
Last updated
08/22/2020
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