Organization
MK&S TRANSPORTATION LLC
Active
Other names
MK&S Transportation LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY GILLIAM (PROVIDER)
(757) 609-5208
Entity
Organization
Contact information
Practice address
1504 MACALPIN CT, VIRGINIA BEACH, VA 23464-7840
(757) 609-5208
Mailing address
1504 MACALPIN CT, VIRGINIA BEACH, VA 23464-7840
(757) 609-5208
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T62658219
DMV
VA
Enumeration date
05/18/2019
Last updated
05/22/2019
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