Provider Demographics
NPI:1427575711
Name:KH HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:KH HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KELA
Authorized Official - Middle Name:
Authorized Official - Last Name:SPIKES BICKHAM
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:985-792-8977
Mailing Address - Street 1:70380 HWY 21 SUITE 2 PMB 170
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433
Mailing Address - Country:US
Mailing Address - Phone:985-792-8977
Mailing Address - Fax:985-790-7090
Practice Address - Street 1:101 ASHLAND WAY
Practice Address - Street 2:
Practice Address - City:MADISONVILLE
Practice Address - State:LA
Practice Address - Zip Code:70447-3357
Practice Address - Country:US
Practice Address - Phone:985-792-8977
Practice Address - Fax:985-790-7090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-28
Last Update Date:2017-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty