Provider Demographics
NPI:1831923648
Name:CHEKI, KESHA LASHUN
Entity type:Individual
Prefix:MRS
First Name:KESHA
Middle Name:LASHUN
Last Name:CHEKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2589 WAVERLY DR
Mailing Address - Street 2:
Mailing Address - City:HORN LAKE
Mailing Address - State:MS
Mailing Address - Zip Code:38637-3137
Mailing Address - Country:US
Mailing Address - Phone:901-497-0839
Mailing Address - Fax:
Practice Address - Street 1:2589 WAVERLY DR
Practice Address - Street 2:
Practice Address - City:HORN LAKE
Practice Address - State:MS
Practice Address - Zip Code:38637-3137
Practice Address - Country:US
Practice Address - Phone:901-497-0839
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS800043393172A00000X, 347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No172A00000XOther Service ProvidersDriver