Kingdom Transportation Logistics LLC

Primary specialty

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

Legal business name

KINGDOM TRANSPORTATION LOGISTICS LLC

Practice address

207 Persimmon PL
Lafayette, LA 70507-3709

Phone

(337) 356-7626

NPI assigned

Nov 14, 2024

Organization subpart

No

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

Authorized official

Name

Preston BroussardNPI 1801610803

Title

Owner

Phone

(337) 356-7626

Specialties & licenses 1

Addresses

Other names 1

• 1 ROYAL TRANSPORT SERVICE Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Preston Broussard

  • Non-emergency Medical Transport (VAN)
  • Lafayette, LA
  • NPI 1801610803
  NPD Authorized official

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1962226969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 PERSIMMON PL",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705073709",
            "telephone_number": "337-356-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 PERSIMMON PL",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705073709",
            "telephone_number": "337-356-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM TRANSPORTATION LOGISTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "BROUSSARD",
        "authorized_official_first_name": "PRESTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-356-7626"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1 ROYAL TRANSPORT SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Earraina Rea King, PHARMD
• Joel Terrance King, PHARMD
• Mika Marlaine King, MD
• Preston King
• Kingdom Source, LLC
• Kelsey K Kingdom
• Olanta Peters Kingsby, FNP
• Gregory Paul Kingston, PHARMD
• Kirk F Knecht LLC
• Kirk S Leblanc MD LLC

• Non-emergency Medical Transport (VAN) in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Non-emergency Medical Transport (VAN) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.