MEDICARE: STEVEN FORD KEESEE

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	343900000X	Non-emergency Medical Transport (VAN)		TN

General Provider Information

NPI Number	:	1073350062
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN FORD KEESEE

Provider Business Mailing Address
First Line	:	605 DEAN RD
Second Line	:
City	:	CLARKSVILLE
State	:	TN
Zip	:	37040-8857
Country	:	US
Telephone Number	:	901-650-5705
Fax Number	:

Provider Business Practice Location Address
First Line	:	605 DEAN RD
Second Line	:
City	:	CLARKSVILLE
State	:	TN
Zip	:	37040-8857
Country	:	US
Telephone Number	:	901-650-5705
Fax Number	:

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

Provider Enumeration Date	:	07/09/2024
Last Update Date	:	06/10/2026

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