Provider Demographics
NPI:1245059617
Name:BETT, REUBEN KIPCHUMBA
Entity type:Individual
Prefix:
First Name:REUBEN
Middle Name:KIPCHUMBA
Last Name:BETT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3975 COLONY HILLS CIR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80916-3405
Mailing Address - Country:US
Mailing Address - Phone:573-303-7764
Mailing Address - Fax:
Practice Address - Street 1:3975 COLONY HILLS CIR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80916-3405
Practice Address - Country:US
Practice Address - Phone:573-303-7764
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-03
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)