Provider Demographics
NPI:1790562262
Name:KMN TRANSPORTATION
Entity Type:Organization
Organization Name:KMN TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OF KMN TRANSPORTATION
Authorized Official - Prefix:MRS
Authorized Official - First Name:HABIBATOU
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:THIOUNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-563-0981
Mailing Address - Street 1:57559 YORKSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48094-3571
Mailing Address - Country:US
Mailing Address - Phone:586-563-0981
Mailing Address - Fax:
Practice Address - Street 1:57559 YORKSHIRE DR
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:MI
Practice Address - Zip Code:48094-3571
Practice Address - Country:US
Practice Address - Phone:586-563-0981
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)