Provider Demographics
NPI:1396389177
Name:K AND T TRANSPORT, LLC
Entity Type:Organization
Organization Name:K AND T TRANSPORT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:KOLEKOFSKI
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:757-293-8745
Mailing Address - Street 1:168 HERITAGE POINTE
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23188-7894
Mailing Address - Country:US
Mailing Address - Phone:757-293-8745
Mailing Address - Fax:
Practice Address - Street 1:168 HERITAGE POINTE
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23188-7894
Practice Address - Country:US
Practice Address - Phone:757-293-8745
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-04
Last Update Date:2019-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)