Provider Demographics
NPI:1831921329
Name:K&P TRANSPORTATION LLC
Entity type:Organization
Organization Name:K&P TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:P
Authorized Official - Last Name:CASTREJON
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:224-717-0534
Mailing Address - Street 1:18051 W BIG OAKS RD
Mailing Address - Street 2:
Mailing Address - City:GRAYSLAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60030-2064
Mailing Address - Country:US
Mailing Address - Phone:224-717-0534
Mailing Address - Fax:
Practice Address - Street 1:18051 W BIG OAKS RD
Practice Address - Street 2:
Practice Address - City:GRAYSLAKE
Practice Address - State:IL
Practice Address - Zip Code:60030-2064
Practice Address - Country:US
Practice Address - Phone:224-717-0534
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-14
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)