NPI 1013519594
Extraordinary Transport Services LLC
Practice location
- Address
- 3200 E 94th St, Kansas City, MO 64132-2846
- Phone
- (816) 606-6863
Authorised official
- Name
- Demond Willingham
- Title
- Ceo/Owner
- Phone
- (816) 606-6863
Registered specialties (2)
Transportation Broker
Primary
Non-emergency Medical Transport (VAN)
Registry record
- NPI
- 1013519594
- Entity type
- Organization
- NPI issued
- 10 Nov 2020
- Record last updated
- 10 Nov 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.