Kingdom Medical Transportation

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

KINGDOM MEDICAL TRANSPORTATION

Practice address

16510 Bobster CT
Woodbridge, VA 22191-6316

Phone

(703) 597-6529

NPI assigned

Jul 25, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Abena Fynn, MBA

Title

Administrator

Phone

(703) 597-6529

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469404800000",
    "number": "1194278317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16510 BOBSTER CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221916316",
            "telephone_number": "703-597-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16510 BOBSTER CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221916316",
            "telephone_number": "703-597-6529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM MEDICAL TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-25",
        "last_updated": "2016-07-25",
        "status": "A",
        "authorized_official_last_name": "FYNN",
        "authorized_official_first_name": "ABENA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "703-597-6529",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly J. Carr, L.C.S.W., P.C.
• Alesha Dawn Kimmel-Dayen, DPT, PT
• Kind Heart Caregivers LLC
• Kinetic Management and Consulting LLC
• Michael Enon King, DDS
• Porshca Kinlaw, DDS
• Stella N Kintu, PHARM.D
• Minakshi Kiran
• Melissa Marie Kirkpatrick, MSW, LGSW, CSOTP
• Pecharat Kitijarurat, DPT

• Non-emergency Medical Transport (VAN) in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Non-emergency Medical Transport (VAN) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.