NPI 1053128900

Kysawn Services LLC

Organisation Private Vehicle Detroit, MI

Practice location

Address: 20039 Greeley St, Detroit, MI 48203-1283
Phone: (313) 782-1915

Authorised official

Name: Bennie Travis
Title: Ceo
Phone: (313) 782-1915

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X

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Registry record

NPI: 1053128900
Entity type: Organization
NPI issued: 13 Dec 2024
Record last updated: 13 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.