Organization
KG INDUSTRIES
Active
Other names
Elite Medical Transport
Organization subpart
No
Provider details
NPI number
Authorized official
DARIN M UPDYKE PHYSICIAN ASSISTANT (OWNER)
(540) 735-4535
Entity
Organization
Contact information
Practice address
10509 TURNING LEAF LN, SPOTSYLVANIA, VA 22551-8909
(540) 735-4535
Mailing address
10509 TURNING LEAF LN, SPOTSYLVANIA, VA 22551-8909
(540) 735-4535
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
—
3416L0300X
Land Ambulance
—
—
342000000X
Transportation Network Company
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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