Organization Active NPI

K-N-K Transport LLC

  • Non-emergency Medical Transport (VAN)
  • Syracuse, NY
National Provider Identifier
1770021263
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
39685 Issued in NY
Legal business name
K-N-K TRANSPORT LLC
Practice address
403 Schaffer Ave
Syracuse, NY 13206-1530
Phone
(315) 727-7091
NPI assigned
Feb 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Authorized official

Name
Kim Lobdell
Title
General Partner, Cfo
Phone
(315) 727-7091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 39685 NY Primary

Addresses

Primary practice location

403 Schaffer Ave
Syracuse, NY 13206-1530

Mailing address

403 Schaffer Ave
Syracuse, NY 13206-1530
Phone (315) 727-7091

Other identifiers 1

IdentifierTypeStateIssuer
04514765MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1770021263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 SCHAFFER AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132061530",
            "telephone_number": "315-727-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 SCHAFFER AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132061530",
            "telephone_number": "315-727-7091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K-N-K TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "LOBDELL",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "GENERAL PARTNER, CFO",
        "authorized_official_telephone_number": "315-727-7091"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": "39685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04514765",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.