MEDICARE: KAYAB TRANSPORT 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	:	1720931983
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KAYAB TRANSPORT LLC

Provider Business Mailing Address
First Line	:	625 LUKENS AVE
Second Line	:
City	:	UPPER DARBY
State	:	PA
Zip	:	19082-3516
Country	:	US
Telephone Number	:	215-303-8746
Fax Number	:

Provider Business Practice Location Address
First Line	:	625 LUKENS AVE
Second Line	:
City	:	UPPER DARBY
State	:	PA
Zip	:	19082-3516
Country	:	US
Telephone Number	:	215-303-8746
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. MARIE N JOSEPH
Credential	:
Telephone Number	:	215-303-8746

Provider Enumeration Date	:	02/18/2026
Last Update Date	:	02/24/2026

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