MEDICARE: KING S HIGHWAY TRANSPORTATION LLC

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	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1477419448
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KING S HIGHWAY TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	1822 E 35TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-4432
Country	:	US
Telephone Number	:	347-977-6545
Fax Number	:

Provider Business Practice Location Address
First Line	:	1822 E 35TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-4432
Country	:	US
Telephone Number	:	347-977-6545
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RASHAWN COLLIER
Credential	:
Telephone Number	:	347-977-6545

Provider Enumeration Date	:	01/02/2026
Last Update Date	:	01/05/2026

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