Provider Demographics
NPI:1215444773
Name:K & J TRANSPORT SERVICES LLC
Entity type:Organization
Organization Name:K & J TRANSPORT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIESHA
Authorized Official - Middle Name:G
Authorized Official - Last Name:BUCKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-268-7024
Mailing Address - Street 1:18439 MAGNOLIA EST
Mailing Address - Street 2:
Mailing Address - City:PRAIRIEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70769-3204
Mailing Address - Country:US
Mailing Address - Phone:225-268-7024
Mailing Address - Fax:225-402-4218
Practice Address - Street 1:18439 MAGNOLIA EST
Practice Address - Street 2:
Practice Address - City:PRAIRIEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70769-3204
Practice Address - Country:US
Practice Address - Phone:225-268-7024
Practice Address - Fax:225-402-4218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-05
Last Update Date:2018-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA007484453343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)