| Organization Name: | KENNETH W MICHAEL |
| NPI Number: | 1245404474 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KENNETH W MICHAEL (OWNER) |
| Mailing Address: | 8245 N County Rd 200 E Brazil |
| State: | IN US |
| Postal Code: | 478347698 |
| Phone Number: | 8129862456 |
| Fax Number: | 8129868003 |
| NPI Enumeration Date: | 04/18/2008 |
| NPI Last Update Date: | 06/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 344600000X |
| License Number: | 0130910058 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Taxi |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A land commercial vehicle used for the transporting of persons in non-emergency situations. The vehicle meets local, county or state regulations set forth by the jurisdictions where it is located. |