You know the position of a visible creature. It really doesn't matter what sound it makes.
If a creature is invisible, you aren't evem aware it is there, unless you make a great spot check and it's within 30'.
If it makes a sound, you get a listen check. On success, you know of it's presence, but can't see or target it. If you beat it by 20, you pinpoint the location (meaning you can target the correct square on the grid with an attack, but the target still has total concealment and can't be targeted by a spell that targets a creature, with the exception of Effect: Ray).
This is a case where the Rules Compendium does not bring in a rule from an expansion book to the skill description, rather simply from the special abilities description for invisibility.
The PH2 Feat just makes this check better; the listener need only beat the DC by 10 to pinpoint the location, and, in addition adds +5 to these specific Listen checks (versus an invisible opponent). There is no case for where you need to pinpoint the sound of a visible opponent (since you already can see it...). This is a great feat for this specific purpose, increasing the odds by 75% to pinpoint an invisible opponent.
What does pinpoint mean? If you heard an invisible opponent, but you don't know where it is, you can make a melee or ranged attack against it, or attack using a spell that affects an area, but you have to guess the square the target actually occupies, and even if you guess correctly, the attack is against total concealment; 50% miss chance. If you succeed on the Listen check (by either +10 with the feat and a +5 modifier or by +20), you know the correct location (the square on the battle grid) but the opponent still benefits from total concealment and cannot be targeted by spells that target a creature. Note: The KES feat adds the benefit of direction on beating it by 5. That is markedly better than "somewhere" without the feat :)
This was my general understanding long before the Rules Compendium, but I do like that the RC made this explicit (hidden <==> invisible <==> total concealment).
If I am following your example, the DC to hear someone talking at 10' is 0+1, or 1. To pinpoint that person (if they were invisible) would be DC+20 or 21, or DC+10 with the feat or 11. A +10 modifier would negate the roll to hear, know direction or pinpoint.
Blindsight (monster ability)
A creature with blindsight can perceive its surroundings
without relying on sight, within a specific radius.
Creatures without eyes, such as oozes, and creatures
with echolocation or heightened senses, such as bats
and true dragons, have this sense.
This isn't super helpful mechanically, however it does mention 'creatures with echolocation like bats'. Echolocation in real life still requires a line of effect, and wouldn't work through solid walls. This isn't specifically spelled out in the text, but in the absence of a rule we have to take into account the words being used. In this case, a bat would be able to echolocate in complete darkness, but would not be able to echolocate a person on the other side of a 5 foot stone wall. Since the manual doesn't go on to describe echolocation in any greater detail, we have to assume it means in DnD what it means in real life.
It looks like a Purple Worm has both blindsight and tremorsense, which would seem to show that there is a reason to have both, which would again point to the above definition where blindsight does not work through solid objects but tremorsense does.
Best Answer
RAW, Keen Hearing and Blindsight do not in any way work together or "stack". They are both used completely independently of each other. It does not require there to be "a completely dark room" to interpret the rules:
The other senses of the creature operate as usual for the circumstances.