NPI 1235459462

King William Volunteer Fire and Rescue

Organisation Land Ambulance Aylett, VA

Practice location

Address: 7936 Richmond Tappahannock Hwy, Aylett, VA 23009
Phone: (804) 769-4311
Mailing address: PO Box 139, Aylett, VA 23009-0139

Authorised official

Name: John Charles Kosek
Title: It Person
Phone: (804) 690-9659

Registered specialties

Land Ambulance Primary

Transportation Services Taxonomy 3416L0300X Licence 00292 (VA)

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Registry record

NPI: 1235459462
Entity type: Organization
NPI issued: 10 Jun 2010
Record last updated: 10 Jun 2010

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.