Provider Demographics
NPI:1518742642
Name:KK TRANSPORTATION LLC
Entity Type:Organization
Organization Name:KK TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEDIR
Authorized Official - Middle Name:K
Authorized Official - Last Name:TUSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-492-7681
Mailing Address - Street 1:8350 E YALE AVE APT C307
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-7609
Mailing Address - Country:US
Mailing Address - Phone:720-492-7681
Mailing Address - Fax:
Practice Address - Street 1:8350 E YALE AVE APT C307
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-7609
Practice Address - Country:US
Practice Address - Phone:720-492-7681
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)