Provider Demographics
NPI:1104347798
Name:KENBAR ENTERPRIZES INC
Entity type:Organization
Organization Name:KENBAR ENTERPRIZES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:BAARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-533-6221
Mailing Address - Street 1:1111 CHURCH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-2803
Mailing Address - Country:US
Mailing Address - Phone:347-533-6221
Mailing Address - Fax:347-534-1411
Practice Address - Street 1:1111 CHURCH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-2803
Practice Address - Country:US
Practice Address - Phone:917-500-4572
Practice Address - Fax:347-534-1411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-05
Last Update Date:2017-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)