1427017334 NPI number — DAVID B KEE MD

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427017334 NPI number — DAVID B KEE MD

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

KEE

Provider First Name:

DAVID

Provider Middle Name:

B

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

MD

Provider Gender Code:

M

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1427017334

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

09/02/2011

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

PO BOX 9788

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

BELFAST

Provider Business Mailing Address State Name:

ME

Provider Business Mailing Address Postal Code:

04915-9788

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

866-265-7922

Provider Business Mailing Address Fax Number:

617-402-1099

Provider First Line Business Practice Location Address:

5 FIRST VILLAGE DRIVE

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

PINEHURST

Provider Business Practice Location Address State Name:

NC

Provider Business Practice Location Address Postal Code:

28374-8724

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

910-295-0215

Provider Business Practice Location Address Fax Number:

910-295-0218

Provider Enumeration Date:

03/20/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 207T00000X , with the licence number:  14250 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 207T00000X , with the licence number: 9300498 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 263151 . This is a "ONE HEALTH" identifier , issued by the state of ( SC ) . This identifiers is of the category "OTHER".
• Identifier: P00684976 . This is a "RR MEDICARE" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
• Identifier: 1061048 . This is a "WORK COMP" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
• Identifier: 890510L , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
• Identifier: 80890 . This is a "FIRST HEALTH" identifier , issued by the state of ( SC ) . This identifiers is of the category "OTHER".
• Identifier: 0603706 . This is a "PHP" identifier , issued by the state of ( SC ) . This identifiers is of the category "OTHER".
• Identifier: A159 . This is a "NC UHC" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
• Identifier: 01839059 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
• Identifier: 142508 , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".
• Identifier: 35665 . This is a "MEDCOST" identifier , issued by the state of ( SC ) . This identifiers is of the category "OTHER".
• Identifier: 6985984000 . This is a "CIGNA" identifier , issued by the state of ( SC ) . This identifiers is of the category "OTHER".
• Identifier: 0399946 . This is a "GHI" identifier , issued by the state of ( SC ) . This identifiers is of the category "OTHER".