Individual
MR. CHARLES E KEES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
220 S DIVISION AVE, SANDPOINT, ID 83864-1759
(208) 265-4514
(208) 263-3789
Mailing address
820 ELM DR, SAINT MARIES, ID 83861-2119
(208) 245-4576
(208) 245-2138
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1889
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073718391
—
ID
05
—
1194056598
—
ID
01
—
135055
CMS MEDICARE NUMBER
ID
05
—
1912218488
—
ID
Enumeration date
03/09/2021
Last updated
03/09/2021
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