Doctor Name: | DAVID LOUIS KEE |
NPI Number: | 1992772289 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | 000768 |
Business Practice Address: | 9401 Holy Cross Ln Suite 115 Breese, IL - 622303510 |
Business Phone Number: | 6185267154 |
Business Fax Number: | 6185268248 |
Mailing Address: | 9401 Holy Cross Ln, Suite 115 BREESE |
State: | IL |
Postal Code: | 622303510 |
Phone Number: | 6185267154 |
Fax Number: | 6185268248 |
NPI Enumeration Date: | 03/05/2006 |
NPI Last Update Date: | 03/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 000768 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |