Organization
KINGSWAY MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAY LANHAM (OWNER)
(937) 763-9983
Entity
Organization
Contact information
Practice address
938 W MAIN ST STE 1, HILLSBORO, OH 45133-7656
(937) 402-4070
(614) 890-7374
Mailing address
9970 E PROSPECT RD, HILLSBORO, OH 45133-8910
(937) 763-9983
(614) 890-7374
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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