MEDICARE: 4 KINGS MEDICAL 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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1144156118
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	4 KINGS MEDICAL TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	4605 TIPSY CIR APT 204
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40216-3478
Country	:	US
Telephone Number	:	502-755-7077
Fax Number	:

Provider Business Practice Location Address
First Line	:	4605 TIPSY CIR APT 204
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40216-3478
Country	:	US
Telephone Number	:	502-755-7077
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ELEXIS BROWN
Credential	:	RMA
Telephone Number	:	502-755-7077

Provider Enumeration Date	:	06/18/2026
Last Update Date	:	06/18/2026

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