Provider Demographics
NPI:1043764590
Name:S AND K TRANSPORT
Entity Type:Organization
Organization Name:S AND K TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-952-8755
Mailing Address - Street 1:2224 MARSHALL AVE
Mailing Address - Street 2:APT A
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23504-2636
Mailing Address - Country:US
Mailing Address - Phone:757-952-8755
Mailing Address - Fax:757-822-6162
Practice Address - Street 1:2224 MARSHALL AVE
Practice Address - Street 2:APT A
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23504-2636
Practice Address - Country:US
Practice Address - Phone:757-952-8755
Practice Address - Fax:757-822-6162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-12
Last Update Date:2016-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA919448343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)