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NPI Code Detail

MEDICARE: KENNETH KEHS

MEDICARE:   KENNETH  KEHS
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
1171400000XHealth & Wellness Coach

General Provider Information

NPI Number : 1811656382
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENNETH KEHS
Provider Business Mailing Address
First Line : 2450 OAK HILL CIR APT 1011
Second Line :
City : FORT WORTH
State : TX
Zip : 76109-9590
Country : US
Telephone Number : 682-688-4288
Fax Number :
Provider Business Practice Location Address
First Line : 2450 OAK HILL CIR APT 1011
Second Line :
City : FORT WORTH
State : TX
Zip : 76109-9590
Country : US
Telephone Number : 682-688-4288
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2021
Last Update Date : 12/13/2021

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Directions to “ KENNETH KEHS ” Practice Location

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