Kim,S Transport and Delivery Service

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

KIM,S TRANSPORT AND DELIVERY SERVICE

Practice address

125 Sewanee Dr
Jackson, MS 39209-3928

Phone

(601) 454-8269

NPI assigned

Jun 25, 2021

Organization subpart

No

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

Authorized official

Name

Kimberly Denise Smith

Title

Owner

Phone

(601) 454-8269

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1376113167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 SEWANEE DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392093928",
            "telephone_number": "601-454-8269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 SEWANEE DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392093928",
            "telephone_number": "601-454-8269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM,S TRANSPORT AND DELIVERY SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-454-8269"
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe Anne Kilman, MD
• Choon-Man Joseph Kim, M.D.
• Hyung Wook Kim, M.D.
• Joshua Kyungho Kim
• Yong Kim, M. D.
• Rebekah Joy Kimball
• Cordelia Kimble, SOCIAL WORKER INTERN
• Ray V Kimble, MD
• Thelma Kimble, PCMHT
• June G. Kimbrough, FNP

• All providers in Jackson, MS
• Non-emergency Medical Transport (VAN) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.