Healthcare Provider Details

I. General information

NPI: 1235066200
Provider Name (Legal Business Name): RK&J TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2306 IMPERIAL LN APT 7
APPLETON WI
54915-1649
US

IV. Provider business mailing address

2306 IMPERIAL LN APT 7
APPLETON WI
54915-1649
US

V. Phone/Fax

Practice location:
  • Phone: 920-251-0199
  • Fax:
Mailing address:
  • Phone: 920-251-0199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: ROLAND KASERERE
Title or Position: MEMBER
Credential: GED
Phone: 920-251-0199