Individual provider · Type 1 NPI
Kenya Fulton
Private Vehicle · Matteson, IL
NPI number
1720779663
Active
Practice location
931 Central Ave
Matteson, IL 60443-1542
Mailing address
1041 Monterey Ct
University Park, IL 60484-3236
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Private Vehicle Primary | 347C00000X | None listed |
Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
Another provider at this address
Other private vehicle providers in Matteson
About NPI 1720779663
Kenya Fulton's National Provider Identifier is 1720779663, issued on May 19, 2023. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Matteson, IL. The record was last updated on May 19, 2023.