Provider Demographics
NPI:1003512294
Name:KOFI TRANSPORT LLC
Entity Type:Organization
Organization Name:KOFI TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:OSEI-KISSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-491-2804
Mailing Address - Street 1:17218 PRESTON RD STE 2800
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75252-4018
Mailing Address - Country:US
Mailing Address - Phone:214-491-2804
Mailing Address - Fax:
Practice Address - Street 1:17218 PRESTON RD STE 2800
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75252-4018
Practice Address - Country:US
Practice Address - Phone:214-491-2804
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-31
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty