Organization
KEB TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KRISTIAN WAYNE BEARDEN (OWNER)
(479) 207-3400
Entity
Organization
Contact information
Practice address
1144 HELTON LN, BOONEVILLE, AR 72927-6630
(479) 207-3400
Mailing address
PO BOX 58, BOONEVILLE, AR 72927-0058
(479) 207-3400
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
512TAX
AR
Other
Enumeration date
07/24/2013
Last updated
07/24/2013
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