Provider Demographics
NPI:1457637258
Name:KEH INC
Entity Type:Organization
Organization Name:KEH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT KEH INC
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-752-2523
Mailing Address - Street 1:307 1ST AVE E
Mailing Address - Street 2:SUITE 17
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-4978
Mailing Address - Country:US
Mailing Address - Phone:406-752-2523
Mailing Address - Fax:
Practice Address - Street 1:307 1ST AVE E
Practice Address - Street 2:SUITE 17
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-4978
Practice Address - Country:US
Practice Address - Phone:406-752-2523
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-25
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT147261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health