Individual
JEFFREY MCKEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
305 SPEARHEAD CIR, KINGSPORT, TN 37664-6200
(423) 323-5092
(423) 323-5092
Mailing address
305 SPEARHEAD CIR, KINGSPORT, TN 37664-6200
(423) 323-5092
(423) 323-5092
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/03/2015
Last updated
01/03/2015
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