Provider Demographics
NPI:1760270714
Name:AKESO PSYCHIATRY
Entity type:Organization
Organization Name:AKESO PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:DYLAN
Authorized Official - Last Name:KELLER
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:509-595-5579
Mailing Address - Street 1:167 NE KAMIAKEN ST
Mailing Address - Street 2:
Mailing Address - City:PULLMAN
Mailing Address - State:WA
Mailing Address - Zip Code:99163-2611
Mailing Address - Country:US
Mailing Address - Phone:509-595-5579
Mailing Address - Fax:
Practice Address - Street 1:167 NE KAMIAKEN ST
Practice Address - Street 2:
Practice Address - City:PULLMAN
Practice Address - State:WA
Practice Address - Zip Code:99163-2611
Practice Address - Country:US
Practice Address - Phone:509-595-5579
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)