Provider Demographics
NPI:1427378017
Name:K&L TRANSPORT SERVICE
Entity Type:Organization
Organization Name:K&L TRANSPORT SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KERMIT
Authorized Official - Middle Name:R
Authorized Official - Last Name:PERKINS
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:252-641-6493
Mailing Address - Street 1:700 E COUNTRY CLUB DR
Mailing Address - Street 2:
Mailing Address - City:TARBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27886-4208
Mailing Address - Country:US
Mailing Address - Phone:252-641-6493
Mailing Address - Fax:252-823-6266
Practice Address - Street 1:700 E COUNTRY CLUB DR
Practice Address - Street 2:
Practice Address - City:TARBORO
Practice Address - State:NC
Practice Address - Zip Code:27886-4208
Practice Address - Country:US
Practice Address - Phone:252-641-6493
Practice Address - Fax:252-823-6266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-04
Last Update Date:2010-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)