Provider Demographics
NPI:1528744976
Name:K & K TRANSPORTATION
Entity type:Organization
Organization Name:K & K TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAQUITTA
Authorized Official - Middle Name:TASHA
Authorized Official - Last Name:MCLEAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-751-2482
Mailing Address - Street 1:3511 MONUMENT DR APT 204
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-3275
Mailing Address - Country:US
Mailing Address - Phone:910-751-2482
Mailing Address - Fax:
Practice Address - Street 1:3511 MONUMENT DR APT 204
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-3275
Practice Address - Country:US
Practice Address - Phone:910-751-2482
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-22
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)