Provider Demographics
NPI:1376156174
Name:KTC TRANSIT GROUP, LLC
Entity Type:Organization
Organization Name:KTC TRANSIT GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS-TAFT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-327-1982
Mailing Address - Street 1:4044 NC HIGHWAY 33 W
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-7349
Mailing Address - Country:US
Mailing Address - Phone:252-327-1982
Mailing Address - Fax:252-641-9997
Practice Address - Street 1:301 S CHURCH ST STE 236
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-5749
Practice Address - Country:US
Practice Address - Phone:336-938-5642
Practice Address - Fax:252-641-9997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-31
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)