Provider Demographics
NPI:1245965516
Name:KING S TRANSPORTATION
Entity type:Organization
Organization Name:KING S TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:MUKIZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-419-4726
Mailing Address - Street 1:7941 W GIBSON LN
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85043-7481
Mailing Address - Country:US
Mailing Address - Phone:623-419-4726
Mailing Address - Fax:
Practice Address - Street 1:7941 W GIBSON LN
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85043-7481
Practice Address - Country:US
Practice Address - Phone:623-419-4726
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-20
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)