Provider Demographics
NPI:1407556020
Name:KANTRUSTT TRANSPORTATION LLC
Entity Type:Organization
Organization Name:KANTRUSTT TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNRE/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NASHA
Authorized Official - Middle Name:S
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-899-9145
Mailing Address - Street 1:PO BOX 340226
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53234-0226
Mailing Address - Country:US
Mailing Address - Phone:414-899-9145
Mailing Address - Fax:
Practice Address - Street 1:734 S 39TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53215-1005
Practice Address - Country:US
Practice Address - Phone:414-899-9145
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-03
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Single Specialty