| Doctor Name: | MEGHAN KEYES-LEE |
| NPI Number: | 1073917738 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APNP |
| License Number: | 605933 |
| Business Practice Address: | 1814 Appleton Rd Menasha, WI - 549521110 |
| Business Phone Number: | 9207317445 |
| Business Fax Number: | 9207317459 |
| Mailing Address: | 5337 W Grande Market Dr, APPLETON |
| State: | WI |
| Postal Code: | 549138442 |
| Phone Number: | 9207317445 |
| Fax Number: | 9208822946 |
| NPI Enumeration Date: | 10/09/2014 |
| NPI Last Update Date: | 10/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | 605933 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |