| NPI | 1164783759 |
|---|---|
| Doing Business As | KEVIN A. WALLS |
| Entity Type | Organization |
| Authorized Contact | KEVIN AVEIN WALLS Owner 901-438-9493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: TN 065203065) |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2012-05-31 |