Organization Active NPI

Keb Transport LLC

  • Non-emergency Medical Transport (VAN)
  • Booneville, AR
National Provider Identifier
1801238381
Registry record updated Jul 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
512TAX Issued in AR
Legal business name
KEB TRANSPORT LLC
Practice address
1144 Helton LN
Booneville, AR 72927-6630
Phone
(479) 207-3400
NPI assigned
Jul 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2013

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

Authorized official

Name
Mr. Kristian Wayne Bearden
Title
Owner
Phone
(479) 207-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 512TAX AR Primary

Addresses

Primary practice location

1144 Helton LN
Booneville, AR 72927-6630

Mailing address

PO Box 58
Booneville, AR 72927-0058
Phone (479) 207-3400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374624000000",
    "number": "1801238381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58",
            "city": "BOONEVILLE",
            "state": "AR",
            "postal_code": "729270058",
            "telephone_number": "479-207-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 HELTON LN",
            "city": "BOONEVILLE",
            "state": "AR",
            "postal_code": "729276630",
            "telephone_number": "479-207-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEB TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-24",
        "last_updated": "2013-07-24",
        "status": "A",
        "authorized_official_last_name": "BEARDEN",
        "authorized_official_first_name": "KRISTIAN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-207-3400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "AR",
            "license": "512TAX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Booneville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.