Provider Demographics
NPI:1811564974
Name:MK TRANSPORTATION LLC
Entity Type:Organization
Organization Name:MK TRANSPORTATION LLC
Other - Org Name:MK TRANSPORTATION LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KOKO
Authorized Official - Middle Name:AULANI
Authorized Official - Last Name:HOOKANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-391-6054
Mailing Address - Street 1:91-821 LAPINE PL
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-2917
Mailing Address - Country:US
Mailing Address - Phone:808-391-6054
Mailing Address - Fax:808-689-6972
Practice Address - Street 1:91-821 LAPINE PL.
Practice Address - Street 2:
Practice Address - City:EWA BEACH
Practice Address - State:HI
Practice Address - Zip Code:96706-9670
Practice Address - Country:US
Practice Address - Phone:808-391-6054
Practice Address - Fax:808-689-6972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-08
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)