Healthcare Provider Details

I. General information

NPI: 1699679886
Provider Name (Legal Business Name): KB NON-EMERGENCY MEDICAL TRANSPORTATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3899 N SHAWNEE ST
AURORA CO
80019-3679
US

IV. Provider business mailing address

3899 N SHAWNEE ST
AURORA CO
80019-3679
US

V. Phone/Fax

Practice location:
  • Phone: 720-609-5978
  • Fax:
Mailing address:
  • Phone: 720-609-5978
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number StateNULL

VIII. Authorized Official

Name: YEMISRACH RETA
Title or Position: OWNER
Credential:
Phone: 720-609-5978