Provider Demographics
NPI:1396459731
Name:KING OF KINGS TRANSPORTATION
Entity type:Organization
Organization Name:KING OF KINGS TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PART OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KINGSLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:NKETIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-556-1079
Mailing Address - Street 1:8696 CONESTOGA VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:BLACKLICK
Mailing Address - State:OH
Mailing Address - Zip Code:43004-7201
Mailing Address - Country:US
Mailing Address - Phone:614-556-1079
Mailing Address - Fax:
Practice Address - Street 1:8696 CONESTOGA VALLEY DR
Practice Address - Street 2:
Practice Address - City:BLACKLICK
Practice Address - State:OH
Practice Address - Zip Code:43004-7201
Practice Address - Country:US
Practice Address - Phone:614-556-1079
Practice Address - Fax:614-505-7114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-10
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)