Provider Demographics
NPI:1629318209
Name:KAYDOLLY MEDICAL & MARKETING TRANSPORTER
Entity Type:Organization
Organization Name:KAYDOLLY MEDICAL & MARKETING TRANSPORTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:OLUKAYODE
Authorized Official - Middle Name:B
Authorized Official - Last Name:ADESINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-323-1847
Mailing Address - Street 1:28 PADELFORD ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-1714
Mailing Address - Country:US
Mailing Address - Phone:401-323-1847
Mailing Address - Fax:401-437-8246
Practice Address - Street 1:28 PADELFORD ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-1714
Practice Address - Country:US
Practice Address - Phone:401-323-1847
Practice Address - Fax:401-437-8246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-19
Last Update Date:2013-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)