Provider Demographics
NPI:1952882268
Name:K&R PRIORITY TRANSIT LLC
Entity Type:Organization
Organization Name:K&R PRIORITY TRANSIT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KOURTNEY
Authorized Official - Middle Name:DESHA
Authorized Official - Last Name:CLAIBORNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-390-6322
Mailing Address - Street 1:5467 WATERFORD LN
Mailing Address - Street 2:
Mailing Address - City:SORRENTO
Mailing Address - State:LA
Mailing Address - Zip Code:70778-3437
Mailing Address - Country:US
Mailing Address - Phone:225-450-2319
Mailing Address - Fax:
Practice Address - Street 1:5467 WATERFORD LN
Practice Address - Street 2:
Practice Address - City:SORRENTO
Practice Address - State:LA
Practice Address - Zip Code:70778-3437
Practice Address - Country:US
Practice Address - Phone:225-450-2319
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-24
Last Update Date:2018-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAA821492343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)