Provider Demographics
NPI:1497480354
Name:K & M SERVICES LLC
Entity Type:Organization
Organization Name:K & M SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:GEORGIA
Authorized Official - Middle Name:KING
Authorized Official - Last Name:MILLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-528-6488
Mailing Address - Street 1:1014 WALLACE RD
Mailing Address - Street 2:
Mailing Address - City:VAUGHAN
Mailing Address - State:MS
Mailing Address - Zip Code:39179-9550
Mailing Address - Country:US
Mailing Address - Phone:662-528-6488
Mailing Address - Fax:
Practice Address - Street 1:1014 WALLACE RD
Practice Address - Street 2:
Practice Address - City:VAUGHAN
Practice Address - State:MS
Practice Address - Zip Code:39179-9550
Practice Address - Country:US
Practice Address - Phone:662-528-6488
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-22
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)Group - Single Specialty