Provider Demographics
NPI:1154166866
Name:KBT TRANSIT LLC
Entity type:Organization
Organization Name:KBT TRANSIT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KIMMYATTA
Authorized Official - Middle Name:
Authorized Official - Last Name:THURMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-372-0466
Mailing Address - Street 1:3536 BROOKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:NORTON
Mailing Address - State:OH
Mailing Address - Zip Code:44203-5537
Mailing Address - Country:US
Mailing Address - Phone:708-372-0466
Mailing Address - Fax:
Practice Address - Street 1:3536 BROOKSIDE DR
Practice Address - Street 2:
Practice Address - City:NORTON
Practice Address - State:OH
Practice Address - Zip Code:44203-5537
Practice Address - Country:US
Practice Address - Phone:216-200-8568
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-26
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)