Healthcare Provider Details

I. General information

NPI: 1669178067
Provider Name (Legal Business Name): KEE EYE CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2023
Last Update Date: 02/07/2023
Certification Date: 02/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

166 S CAROL MALONE BLVD
GRAYSON KY
41143-1352
US

IV. Provider business mailing address

166 S CAROL MALONE BLVD
GRAYSON KY
41143-1352
US

V. Phone/Fax

Practice location:
  • Phone: 606-474-2940
  • Fax: 606-474-2944
Mailing address:
  • Phone: 606-474-2940
  • Fax: 606-474-2944

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. GARRETT SCOTT KEE
Title or Position: OWNER
Credential: OD
Phone: 606-225-9923