Kanicole Brown

Individual provider Active NPI Non-emergency Medical Transport (VAN) · Windsor, VA

NPI 1760018345 · NPPES record last updated Mar 16, 2020

Key facts

NPI
1760018345
Entity type
Individual (NPI type 1)
Primary specialty
Non-emergency Medical Transport (VAN) 343900000X
Practice address
100 Maple LN
Windsor, VA 23487-9525
Phone
(757) 371-3522
NPI assigned
Mar 16, 2020
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

Specialties & licenses

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

Addresses

Primary practice location

100 Maple LN
Windsor, VA 23487-9525

Mailing address

100 Maple LN
Windsor, VA 23487-9525
Phone (757) 371-3522

Electronic endpoints

TypeEndpointUseAffiliation
Other URL email

Other providers in Windsor, VA

All providers in Windsor, VA · Non-emergency Medical Transport (VAN) in Virginia

Sources for this page

Verify at the official NPI Registry.