KMK Nationwide Transport LLC

Primary specialty

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

Legal business name

KMK NATIONWIDE TRANSPORT LLC

Practice address

1315 Woodgrove Park Dr
O Fallon, MO 63366-1595

Phone

(314) 425-9490

NPI assigned

Aug 28, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Kaise Salah

Title

President

Phone

(314) 425-9490

Specialties & licenses 1

Addresses

Other names 1

• KMK Transport Doing business as

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

{
    "created_epoch": "1630108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630108800000",
    "number": "1932876752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 WOODGROVE PARK DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633661595",
            "telephone_number": "314-425-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 WOODGROVE PARK DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633661595",
            "telephone_number": "314-425-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMK NATIONWIDE TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-28",
        "last_updated": "2021-08-28",
        "certification_date": "2021-08-28",
        "status": "A",
        "authorized_official_last_name": "SALAH",
        "authorized_official_first_name": "KAISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-425-9490",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KMK Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dale J Klein, MD
• Megan Klein, DPT
• Sara Klein, PA-C
• Jordan Nicole Klinckhardt
• Laura Klossner, RD, LD
• Devon Justine Knapp
• Jill Kneemiller, LPC
• Kristin Elizabeth Knoop, CF-SLP
• Bernadette Koehler
• Nicole Koelling

• Non-emergency Medical Transport (VAN) in O Fallon, MO
• Providers in O Fallon, MO by specialty
• Non-emergency Medical Transport (VAN) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.