Provider Demographics
NPI:1912374877
Name:K AND M TRANSPORTATION, LLC
Entity Type:Organization
Organization Name:K AND M TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTA
Authorized Official - Middle Name:C
Authorized Official - Last Name:POUNCY-DYSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-432-0041
Mailing Address - Street 1:3021 MEMORIAL PARK DR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70114-6539
Mailing Address - Country:US
Mailing Address - Phone:504-432-0041
Mailing Address - Fax:
Practice Address - Street 1:3021 MEMORIAL PARK DR
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70114-6539
Practice Address - Country:US
Practice Address - Phone:504-432-0041
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-27
Last Update Date:2015-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)