Individual
DAVID LOUIS KEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
14160 JAMESTOWN RD, BREESE, IL 62230-3694
(618) 526-7154
Mailing address
14160 JAMESTOWN RD, BREESE, IL 62230-3694
(618) 526-7154
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
000768
MO
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016-004886
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2700500
UHC
IL
01
—
480026529
MEDICARE RAILROAD PTAN
IL
01
—
483960
GROUP
IL
01
—
5370680
AETNA
IL
01
—
57597
GHP
—
Enumeration date
03/05/2006
Last updated
12/30/2021
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