MEDICARE: K&K TRANSPORTATION GROUP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1134075419
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	K&K TRANSPORTATION GROUP

Provider Business Mailing Address
First Line	:	21040 TREBEC BLVD
Second Line	:
City	:	EUCLID
State	:	OH
Zip	:	44119-1822
Country	:	US
Telephone Number	:	216-340-4757
Fax Number	:

Provider Business Practice Location Address
First Line	:	21040 TREBEC BLVD
Second Line	:
City	:	EUCLID
State	:	OH
Zip	:	44119-1822
Country	:	US
Telephone Number	:	216-340-4757
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. MARCUS GWELEH KPANLIN
Credential	:	MD
Telephone Number	:	216-340-4757

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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