Kenntoni Medical Corp

Primary specialty

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

Legal business name

KENNTONI MEDICAL CORP

Doing business as

KennToni Medical Corp

Practice address

3 Washakie Ave FL 2
N Providence, RI 02911-3532

Phone

(401) 405-8863

Fax

(401) 270-6433

NPI assigned

Dec 24, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth N Agbodike

Title

President

Phone

(401) 405-8863

Specialties & licenses 1

Addresses

Other names 1

• KennToni Medical Corp Doing business as

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

{
    "created_epoch": "1545609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545609600000",
    "number": "1376015792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WASHAKIE AVE FL 2",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029113532",
            "telephone_number": "401-405-8863",
            "fax_number": "401-270-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WASHAKIE AVE FL 2",
            "city": "N PROVIDENCE",
            "state": "RI",
            "postal_code": "029113532",
            "telephone_number": "401-405-8863",
            "fax_number": "401-270-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNTONI MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-24",
        "last_updated": "2018-12-24",
        "status": "A",
        "authorized_official_last_name": "AGBODIKE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-405-8863",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KennToni Medical Corp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Non-emergency Medical Transport (VAN) in N Providence, RI
• Providers in N Providence, RI by specialty
• Non-emergency Medical Transport (VAN) in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2018; 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.