Provider Demographics
NPI:1225405103
Name:KEKOVOLE CONSULTING GROUP
Entity Type:Organization
Organization Name:KEKOVOLE CONSULTING GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KEKOVOLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-422-4165
Mailing Address - Street 1:11652 MELROSE ST APT 172
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-3832
Mailing Address - Country:US
Mailing Address - Phone:240-422-4165
Mailing Address - Fax:
Practice Address - Street 1:11652 MELROSE ST APT 172
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-3832
Practice Address - Country:US
Practice Address - Phone:240-422-4165
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-27
Last Update Date:2015-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01011900343800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)