Provider Demographics
NPI:1053483495
Name:KAYE LOWELL, INC
Entity Type:Organization
Organization Name:KAYE LOWELL, INC
Other - Org Name:ABE-L TRAVEL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRENCE
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:ABRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-636-9939
Mailing Address - Street 1:PO BOX 5083
Mailing Address - Street 2:
Mailing Address - City:CHINO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:86323-2740
Mailing Address - Country:US
Mailing Address - Phone:928-636-9939
Mailing Address - Fax:928-636-9949
Practice Address - Street 1:1705 N THREE RANCH RD
Practice Address - Street 2:
Practice Address - City:CHINO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:86323-8160
Practice Address - Country:US
Practice Address - Phone:928-636-9939
Practice Address - Fax:928-636-9949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ180472OtherAHCCCS ID #