Provider Demographics
NPI:1124500558
Name:KELKIE, INC.
Entity type:Organization
Organization Name:KELKIE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRPERSON OF THE BOARD
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELENIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-409-2409
Mailing Address - Street 1:7990 CROSS RIDGE DRIVE
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-8133
Mailing Address - Country:US
Mailing Address - Phone:901-409-2409
Mailing Address - Fax:
Practice Address - Street 1:7990 CROSS RIDGE DRIVE
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-8133
Practice Address - Country:US
Practice Address - Phone:901-409-2409
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-01
Last Update Date:2018-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care