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General NPI Number Information
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NPI Number | 1457637258
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Entity Type | Organization
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Legal Business Name | KEH INC
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Dates
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Enumeration Date | 10/25/2011
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Last Update Date | 10/25/2011
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Provider Practice Location Address
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Address Line | 307 1ST AVE E SUITE 17
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City | KALISPELL
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State | MT
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Zip | 59901-4978
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Country | US
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Telephone | 406-752-2523
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Fax |
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Provider Business Mailing Address
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Address Line | 307 1ST AVE E SUITE 17
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City | KALISPELL
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State | MT
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Zip | 59901-4978
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Country | US
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Telephone | 406-752-2523
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Fax |
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Authorized Official
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Title or Position | PRESIDENT KEH INC
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Name | KATHLEEN HAYDEN
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Credential |
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Telephone | 406-752-2523
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 147
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License Number State | MT
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