MEDICARE: ANTHONY S. KEE, O.D.

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	332H00000X	Eyewear Supplier
2	152W00000X	Optometrist

General Provider Information

NPI Number	:	1093984734
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANTHONY S. KEE, O.D.

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

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ANTHONY S. KEE
Credential	:	O.D.
Telephone Number	:	606-474-2940

Provider Enumeration Date	:	02/27/2008
Last Update Date	:	02/27/2008

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