Organization
KEKOA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANA WICKERSHAM (OWNER)
(702) 513-8321
Entity
Organization
Contact information
Practice address
7345 FALCON ROCK DR, LAS VEGAS, NV 89123-1470
(702) 513-8321
Mailing address
7345 FALCON ROCK DR, LAS VEGAS, NV 89123-1470
(702) 513-8321
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053417345
—
NV
05
—
1164739017
—
NV
05
—
1366741183
—
NV
05
—
1487953915
—
NV
05
—
1679797633
—
NV
05
—
1740597715
—
NV
Enumeration date
02/22/2012
Last updated
02/22/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us