Active NPI
Keb Transport LLC
- Non-emergency Medical Transport (VAN)
- Booneville, AR
National Provider Identifier
1801238381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 512TAX
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.