Provider Demographics
NPI:1508020637
Name:KINGSHIP TRANSPORTATION LLC.
Entity Type:Organization
Organization Name:KINGSHIP TRANSPORTATION LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:WANDA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:LYONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-953-1792
Mailing Address - Street 1:300 WESTFIELD DR
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31093-3718
Mailing Address - Country:US
Mailing Address - Phone:478-953-1792
Mailing Address - Fax:478-953-1792
Practice Address - Street 1:300 WESTFIELD DR
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31093-3718
Practice Address - Country:US
Practice Address - Phone:478-953-1792
Practice Address - Fax:478-953-1792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-17
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle