Provider Demographics
NPI:1902925498
Name:K & S MEDICAL TRANSPORT INC.
Entity Type:Organization
Organization Name:K & S MEDICAL TRANSPORT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SALLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:PIESKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-634-2788
Mailing Address - Street 1:1301 VILLA ST
Mailing Address - Street 2:
Mailing Address - City:RACINE
Mailing Address - State:WI
Mailing Address - Zip Code:53403-1856
Mailing Address - Country:US
Mailing Address - Phone:262-634-2788
Mailing Address - Fax:262-634-2780
Practice Address - Street 1:1301 VILLA ST
Practice Address - Street 2:
Practice Address - City:RACINE
Practice Address - State:WI
Practice Address - Zip Code:53403-1856
Practice Address - Country:US
Practice Address - Phone:262-634-2788
Practice Address - Fax:262-634-2780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)