Organization
WELLNESS MEDICAL TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BERNARD KANGOGO CEO (OWNER/OPERATOR)
(913) 270-4210
Entity
Organization
Contact information
Practice address
10419 COLLEGE AVE, KANSAS CITY, MO 64137-1529
(913) 270-4210
Mailing address
10419 COLLEGE AVE, KANSAS CITY, MO 64137-1529
(913) 270-4210
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
LC001531713
MO
Other
Enumeration date
11/10/2017
Last updated
11/10/2017
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