Kenneth Amoo
Individual provider Active NPI Non-emergency Medical Transport (VAN) · Bristow, VA
NPI 1629424684 · NPPES record last updated May 28, 2019
Key facts
- NPI
- 1629424684
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Non-emergency Medical Transport (VAN) 343900000X
- Practice address
- 10737 Tuttle LN
Bristow, VA 20136-2803 - Phone
- (973) 280-2123
- Fax
- (703) 594-0224
- NPI assigned
- May 9, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TNT Logistics LLC | Non-Emergency Medical Transport (Van) | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 331 | VA | |
| Non-emergency Medical Transport (VAN) | 343900000X | Yes |
Addresses
Primary practice location
10737 Tuttle LN
Bristow, VA 20136-2803
Mailing address
10737 Tuttle LN
Bristow, VA 20136-2803
Phone (973) 280-2123
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 331 | Other | VA | NON-EMERGENCY MEDICAL TRANSPORTATION CARRIER |
Other providers in Bristow, VA
- Absera Transport LLC
- Abundant Living Support Services LLC
- Shanise Signoret Allen
- Mohammad A. Amiri Sr.
- Esther Oduraa Amoo
- Antoinette Place LLC
- Chidera B Anumudu
- Apex DME Billing LLC
- Meseret Asfaw
- Associates in Eyecare Bristow PC
All providers in Bristow, VA · Non-emergency Medical Transport (VAN) in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.