Kenton County Airport Board

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1482 Issued in KY

Legal business name

KENTON COUNTY AIRPORT BOARD

Practice address

2100 Tower Dr
Hebron, KY 41048

Phone

(859) 767-7959

Fax

(859) 767-5993

NPI assigned

May 12, 2006

Organization subpart

No

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

Authorized official

Name

Candice S McGraw

Title

Ceo

Phone

(859) 767-7970

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1306897822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392907",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519907",
            "telephone_number": "800-962-1484",
            "fax_number": "859-767-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 TOWER DR",
            "city": "HEBRON",
            "state": "KY",
            "postal_code": "41048",
            "telephone_number": "859-767-7959",
            "fax_number": "859-767-5993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTON COUNTY AIRPORT BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "MCGRAW",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "859-767-7970"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "KY",
            "license": "1482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jam Physical Therapy
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• Martin Jones
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• Kentucky Rehabilitation Services Inc
• David M Kessler, PT
• Ibthaj Ur Rehman Khilji
• Kiosk Medicine of Kentucky LLC
• Payal S Kohli, MD

• Land Ambulance in Hebron, KY
• Providers in Hebron, KY by specialty
• Land Ambulance in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.