Kysawn Services LLC

Primary specialty

Private VehicleTaxonomy code 347C00000X

Legal business name

KYSAWN SERVICES LLC

Practice address

20039 Greeley St
Detroit, MI 48203-1283

Phone

(313) 782-1915

NPI assigned

Dec 13, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Bennie Travis

Title

Ceo

Phone

(313) 782-1915

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1053128900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20039 GREELEY ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482031283",
            "telephone_number": "313-782-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20039 GREELEY ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482031283",
            "telephone_number": "313-782-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYSAWN SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-13",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "TRAVIS",
        "authorized_official_first_name": "BENNIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-782-1915",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Marie Kyko, CRNA
• Jennifer Kyko, DO
• Philip Kyko, CRNA
• Althea M Kyles, MA, LBSW, LLPC,QMHP
• Michelle Lynn Kyota, CNM
• L a 7 Shades of Emotions Inc
• L Brintley MD PLLC
• L&H Residential Care LLC
• L&L Adult Day Care Inc.
• Cassie Laasch, MD

• Private Vehicle in Detroit, MI
• Providers in Detroit, MI by specialty
• Private Vehicle in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.