MR. WILLIE DITU KAYEMBE N/A NPI 1396307302

NPI Information

NPI: 1396307302
Provider Name: MR. WILLIE DITU KAYEMBE, N/A
Classification: Transportation Broker - 347E00000X
Entity Type: Individual
Address:
1926 ACORN GLEN TRL
FRESNO, TX
ZIP 77545
Phone: (832) 714-9560
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MR. Willie Ditu Kayembe, N/A is a transportation broker in Fresno, TX. The provider is an organization that provides transportation for individuals who need access to medical care or services and have no other means of transportation. Transportation includes, but is not limited to, wheelchair van, taxi, stretcher car, bus passes and tickets, and secured transportation. MR. Willie Ditu Kayembe, N/A NPI is 1396307302. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1926 ACORN GLEN TRL
FRESNO, TX
ZIP 77545-121
Phone: (832) 714-9560

The enumeration date for this NPI number is 7/1/2019 and was last updated on 11/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License State	Primary
1	343900000X	Non-emergency Medical Transport (VAN)	TEXAS	No
2	344600000X	Taxi	TEXAS	No
3	347C00000X	Private Vehicle	TEXAS	No
4	347E00000X	Transportation Broker	TEXAS	Yes
5	172V00000X	Community Health Worker	TEXAS	No
6	171R00000X	Interpreter	TEXAS	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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