Organization
MORGANTOWN TRANSPORTATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRIS W. BALDOCK (CHAIRMAN, CEO, PRESIDENT)
(443) 548-2201
Entity
Organization
Contact information
Practice address
342 S MAIN ST, MORGANTOWN, KY 42261-9407
(270) 662-0045
(270) 662-0053
Mailing address
400 REDLAND CT, SUITE 114, OWINGS MILLS, MD 21117-3270
(443) 548-2200
(443) 548-2260
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56020720
—
KY
05
—
56020738
—
KY
05
—
56023229
—
KY
Enumeration date
02/26/2007
Last updated
08/22/2020
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