Organization
KMT TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHALED B TIGOURTI (CEO)
(856) 281-4496
Entity
Organization
Contact information
Practice address
7445 GITHENS AVE, PENNSAUKEN, NJ 08109-3161
(856) 281-4496
Mailing address
7445 GITHENS AVE, PENNSAUKEN, NJ 08109-3161
(856) 281-4496
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
0442012
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0442012
—
NJ
Enumeration date
07/10/2018
Last updated
03/08/2021
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