Provider Demographics
NPI:1184348914
Name:KTS LOGISTICS LLC
Entity type:Organization
Organization Name:KTS LOGISTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:D
Authorized Official - Last Name:TILLAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-729-2100
Mailing Address - Street 1:8008 KING EIDER DR
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23231-8938
Mailing Address - Country:US
Mailing Address - Phone:804-729-2100
Mailing Address - Fax:
Practice Address - Street 1:8008 KING EIDER DR
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23231-8938
Practice Address - Country:US
Practice Address - Phone:804-729-2100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)