Organization
KEITH M KELLER
Active
Parent organization
BREQUAN LOGISTICS
Other names
BreQuan Logistics
Organization subpart
Yes
Provider details
NPI number
Legal business name
BREQUAN LOGISTICS
Authorized official
MR. KEITH M KELLER (OWNER)
(803) 662-9952
Entity
Organization
Contact information
Practice address
233 ANISA DR, NORTH, SC 29112-8002
(803) 662-9952
Mailing address
233 ANISA DR, NORTH, SC 29112-8002
(803) 662-9952
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/15/2015
Last updated
04/15/2015
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