Most Relevant Information
Provider Data
| NPI Number: | 1003473083 |
| Provider Name: | LEAH KIWON MCDONALD |
| Entity Type: | Individual |
| Taxonomy Code: | 343900000X |
| Specialty: | Non-emergency Medical Transport (VAN) |
| License Number: | 926852 |
Most Important Dates
| Enumeration Date: | 05/24/2019 |
| Last Updated: | 05/24/2019 |
Provider Practice Location
1301 MONTICELLO AVE
NORFOLK
VA
235102613
Practice Location Phone/Fax
| Phone: | 7575155656 |
| Fax: |
Provider Mailing Location
4663 MERRIMAC LN
VIRGINIA BEACH
VA
234556367
Provider Mailing Phone/Fax
| Phone: | 7575899484 |
| Fax: |