Provider Demographics
NPI:1144091729
Name:KRAFTED LLC
Entity type:Organization
Organization Name:KRAFTED LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:WENGAI
Authorized Official - Middle Name:MALVIN
Authorized Official - Last Name:KAHUNI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-590-6389
Mailing Address - Street 1:3733 HILL COUNTRY DR
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-4174
Mailing Address - Country:US
Mailing Address - Phone:405-590-6389
Mailing Address - Fax:
Practice Address - Street 1:3733 HILL COUNTRY DR
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-4174
Practice Address - Country:US
Practice Address - Phone:405-590-6389
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-11
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)