Healthcare Provider Details
I. General information
NPI: 1316869514
Provider Name (Legal Business Name): JKC TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
305 N SABLE BLVD UNIT 4206
AURORA CO
80011-0835
US
IV. Provider business mailing address
305 N SABLE BLVD UNIT 4206
AURORA CO
80011-0835
US
V. Phone/Fax
- Phone: 720-935-5025
- Fax:
- Phone: 720-935-5025
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 347C00000X |
| Taxonomy | Private Vehicle |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOSEPH
KUANANN
CAPEU
Title or Position: DIRECTOR/OWNER
Credential:
Phone: 720-935-5025