Individual
KENNETH AMOO
Active
Individual
KENNETH AMOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
331
VA
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
331
NON-EMERGENCY MEDICAL TRANSPORTATION CARRIER
VA
Enumeration date
05/09/2016
Last updated
05/28/2019
Update your record
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