Provider Demographics
NPI:1346282761
Name:K-S PERSONAL TRANSPORT, INC
Entity Type:Organization
Organization Name:K-S PERSONAL TRANSPORT, INC
Other - Org Name:K'S PERSONAL TRANPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:KREVOSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-987-2254
Mailing Address - Street 1:PO BOX 325
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01540-0325
Mailing Address - Country:US
Mailing Address - Phone:508-987-2254
Mailing Address - Fax:508-987-2254
Practice Address - Street 1:94 MAIN ST
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MA
Practice Address - Zip Code:01540-2823
Practice Address - Country:US
Practice Address - Phone:508-987-2254
Practice Address - Fax:508-987-2254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA39573416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA095959OtherBLUE CROSS BLUE SHIELD
MA1711571Medicaid
MA095959Medicare ID - Type Unspecified