Provider Demographics
NPI:1194434605
Name:ABILITY EXPRESS LLC
Entity type:Organization
Organization Name:ABILITY EXPRESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:HOLL
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:KREIENKAMP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-259-3512
Mailing Address - Street 1:PO BOX 883
Mailing Address - Street 2:
Mailing Address - City:BOURBON
Mailing Address - State:MO
Mailing Address - Zip Code:65441-0883
Mailing Address - Country:US
Mailing Address - Phone:573-677-5006
Mailing Address - Fax:573-732-3172
Practice Address - Street 1:670 OLD SPRINGFIELD RD
Practice Address - Street 2:
Practice Address - City:BOURBON
Practice Address - State:MO
Practice Address - Zip Code:65441-8307
Practice Address - Country:US
Practice Address - Phone:573-677-5006
Practice Address - Fax:573-732-3172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-23
Last Update Date:2022-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker