Kathy Onetia Allen

Individual provider Active NPI Non-emergency Medical Transport (VAN) · Bastrop, LA

NPI 1679755326 · NPPES record last updated Dec 4, 2007

Key facts

NPI
1679755326
Entity type
Individual (NPI type 1)
Primary specialty
Non-emergency Medical Transport (VAN) 343900000X
License
1662674 (LA)
Practice address
119 Pugh St
Bastrop, LA 71220-3570
Phone
(318) 281-2158
Fax
(318) 281-7210
NPI assigned
Dec 4, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1662674LAMDNon-emergency Medical Transport (VAN)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 1662674 LA Yes

Addresses

Primary practice location

119 Pugh St
Bastrop, LA 71220-3570

Mailing address

119 Pugh St
Bastrop, LA 71220-3570

Other providers in Bastrop, LA

All providers in Bastrop, LA · Non-emergency Medical Transport (VAN) in Louisiana

Sources for this page

Verify at the official NPI Registry.