Dasean Kyser

Individual provider Active NPI Non-emergency Medical Transport (VAN) · Bottineau, ND

NPI 1992051890 · NPPES record last updated Jul 28, 2012

Key facts

NPI
1992051890
Entity type
Individual (NPI type 1)
Primary specialty
Non-emergency Medical Transport (VAN) 343900000X
Practice address
1003 Kersten St
Bottineau, ND 58318-1828
Phone
(208) 290-0169
NPI assigned
Jul 28, 2012
Sex
Male
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
Secured Medical Transport (VAN) 343800000X
Non-emergency Medical Transport (VAN) 343900000X Yes
Private Vehicle 347C00000X

Addresses

Primary practice location

1003 Kersten St
Bottineau, ND 58318-1828

Mailing address

1003 Kersten St
Bottineau, ND 58318-1828
Phone (208) 290-0169

Other providers in Bottineau, ND

All providers in Bottineau, ND · Non-emergency Medical Transport (VAN) in North Dakota

Sources for this page

Verify at the official NPI Registry.