Provider Demographics
NPI:1801783436
Name:KOLE TRANSPORTATION
Entity type:Organization
Organization Name:KOLE TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR/DRIVER
Authorized Official - Prefix:
Authorized Official - First Name:LILIAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:KABA
Authorized Official - Suffix:
Authorized Official - Credentials:STS PROVIDER
Authorized Official - Phone:952-686-4685
Mailing Address - Street 1:3016 80TH AVE N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55444-1836
Mailing Address - Country:US
Mailing Address - Phone:612-518-2835
Mailing Address - Fax:
Practice Address - Street 1:3016 80TH AVE N
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55444-1836
Practice Address - Country:US
Practice Address - Phone:612-518-2835
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)