Provider Demographics
NPI:1386405314
Name:KELD, INC
Entity type:Organization
Organization Name:KELD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HAIMANOT
Authorized Official - Middle Name:
Authorized Official - Last Name:LEMLEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-576-4542
Mailing Address - Street 1:20804 BELLERIVE DR
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-7923
Mailing Address - Country:US
Mailing Address - Phone:512-576-4542
Mailing Address - Fax:
Practice Address - Street 1:20804 BELLERIVE DR
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-7923
Practice Address - Country:US
Practice Address - Phone:512-576-4542
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-17
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)