Provider Demographics
NPI:1851835482
Name:KHS MANAGEMENT LLC
Entity Type:Organization
Organization Name:KHS MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DEREK
Authorized Official - Middle Name:
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-242-0935
Mailing Address - Street 1:8130 OLD SEWARD HWY
Mailing Address - Street 2:#102
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99518-3349
Mailing Address - Country:US
Mailing Address - Phone:480-242-0935
Mailing Address - Fax:
Practice Address - Street 1:8130 OLD SEWARD HWY
Practice Address - Street 2:#102
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99518-3349
Practice Address - Country:US
Practice Address - Phone:480-242-0935
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-16
Last Update Date:2016-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKMEDS7474174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty