MEDICARE: ANTHONY SCOTT KEE OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	1162DT	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053311589
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY SCOTT KEE OD

Provider Business Mailing Address
First Line	:	166 S CAROL MALONE BLVD
Second Line	:	STE A
City	:	GRAYSON
State	:	KY
Zip	:	41143-1352
Country	:	US
Telephone Number	:	606-474-2940
Fax Number	:	606-474-2944

Provider Business Practice Location Address
First Line	:	166 S CAROL MALONE BLVD
Second Line	:	STE A
City	:	GRAYSON
State	:	KY
Zip	:	41143-1352
Country	:	US
Telephone Number	:	606-474-2940
Fax Number	:	606-474-2944

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2005
Last Update Date	:	12/04/2009

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Practice Fax: 606-474-2944

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