Individual
KEITH CUSTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6639 WALKER ST, PHILADELPHIA, PA 19135-2611
(445) 232-8948
Mailing address
6639 WALKER ST, PHILADELPHIA, PA 19135-2611
(445) 232-8948
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
PA
Other
Enumeration date
09/12/2025
Last updated
09/12/2025
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