Provider Demographics
NPI:1114553591
Name:TRANSPORT BY KRAY
Entity Type:Organization
Organization Name:TRANSPORT BY KRAY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KUNICKA
Authorized Official - Middle Name:R
Authorized Official - Last Name:OLLENNU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-673-7388
Mailing Address - Street 1:407 HALIFAX ST STE 3
Mailing Address - Street 2:
Mailing Address - City:EMPORIA
Mailing Address - State:VA
Mailing Address - Zip Code:23847-1722
Mailing Address - Country:US
Mailing Address - Phone:252-673-7388
Mailing Address - Fax:434-634-0070
Practice Address - Street 1:407 HALIFAX ST STE 3
Practice Address - Street 2:
Practice Address - City:EMPORIA
Practice Address - State:VA
Practice Address - Zip Code:23847-1722
Practice Address - Country:US
Practice Address - Phone:252-673-7388
Practice Address - Fax:434-634-0070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-18
Last Update Date:2020-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker