Organization
K ON THE GO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY WILLIAMS (OWNER)
(804) 878-8938
Entity
Organization
Contact information
Practice address
132 SANDERLING AVE, SANDSTON, VA 23150-1000
(804) 878-8938
Mailing address
132 SANDERLING AVE, SANDSTON, VA 23150-1000
(804) 878-8938
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T61-74-9593
DRIVERS LICENSE
VA
Enumeration date
03/13/2020
Last updated
03/13/2020
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