Organization
KAMS TRANSPORTATION AND MOBILE HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELICIA VANTERPOOL (HODGE) A-GNP (CEO)
(256) 683-1575
Entity
Organization
Contact information
Practice address
102 PEARLE COVE DR, HUNTSVILLE, AL 35806-4243
(256) 947-2285
Mailing address
102 PEARLE COVE DR, HUNTSVILLE, AL 35806-4243
(256) 947-2285
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
AL
363LG0600X
Gerontology Nurse Practitioner
1-114022
AL
364SA2200X
Adult Health Clinical Nurse Specialist
1-114022
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245508860
NPI
AL
01
—
1932163920
NPI
AL
Enumeration date
11/06/2016
Last updated
11/23/2016
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