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Organization

SOUTHGATE WILDER EMERGENCY MEDICAL SERVICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANTHONY KRAMER (DIRECTOR)
(859) 441-1422
Entity
Organization

Contact information

Practice address
836 4TH AVE, HUNTINGTON, WV 25701-1407
(304) 521-1576
Mailing address
128 ELECTRIC AVE, SOUTHGATE, KY 41071-3166

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1539
KY

Other

Enumeration date
07/18/2013
Last updated
07/18/2013
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