Provider Demographics
NPI:1700056751
Name:J & K TRANSPORTATIONS SERVICES LLC
Entity Type:Organization
Organization Name:J & K TRANSPORTATIONS SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHNNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KENDRICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-552-3745
Mailing Address - Street 1:15565 NORTHLAND DR E STE 821
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-5311
Mailing Address - Country:US
Mailing Address - Phone:248-552-3745
Mailing Address - Fax:248-552-3746
Practice Address - Street 1:15565 NORTHLAND DR E STE 821
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-5311
Practice Address - Country:US
Practice Address - Phone:248-552-3745
Practice Address - Fax:248-552-3746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-05
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIMDOT L0718343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)