Provider Demographics
NPI:1497923718
Name:K E G INC
Entity Type:Organization
Organization Name:K E G INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:GREINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-564-1478
Mailing Address - Street 1:4320 HOWARD BLVD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:NE
Mailing Address - Zip Code:68601-4033
Mailing Address - Country:US
Mailing Address - Phone:402-564-1478
Mailing Address - Fax:402-562-6797
Practice Address - Street 1:4320 HOWARD BLVD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NE
Practice Address - Zip Code:68601-4033
Practice Address - Country:US
Practice Address - Phone:402-564-1478
Practice Address - Fax:402-562-6797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-20
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE5167790001Medicare NSC