Organization Active NPI

K B K LLC Transport

  • Vehicle Modifications Contractor
  • Milwaukee, WI
National Provider Identifier
1417632464
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vehicle Modifications ContractorTaxonomy code 171WV0202X
Legal business name
K B K LLC TRANSPORT
Practice address
725 W Lapham Blvd Apt 11
Milwaukee, WI 53204-3446
Phone
(716) 431-0218
NPI assigned
Jun 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Authorized official

Name
Mr. Ibrahim Mohamud Ibrahim, IBRAHIM
Title
Transportation
Phone
(716) 431-0218

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vehicle Modifications ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171WV0202X Primary

Addresses

Primary practice location

725 W Lapham Blvd Apt 11
Milwaukee, WI 53204-3446

Mailing address

725 W Lapham Blvd Apt 11
Milwaukee, WI 53204-3446
Phone (716) 431-0218

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1417632464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 W LAPHAM BLVD APT 11",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532043446",
            "telephone_number": "716-431-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 W LAPHAM BLVD APT 11",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532043446",
            "telephone_number": "716-431-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K B K LLC TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-18",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_middle_name": "MOHAMUD",
        "authorized_official_title_or_position": "TRANSPORTATION",
        "authorized_official_telephone_number": "716-431-0218",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "IBRAHIM"
    },
    "taxonomies": [
        {
            "code": "171WV0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor, Vehicle Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.