Healthcare Provider Details

I. General information

NPI: 1356839823
Provider Name (Legal Business Name): CHERYL KEE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2018
Last Update Date: 04/30/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9030 MONTGOMERY RD
CINCINNATI OH
45242-7741
US

IV. Provider business mailing address

3404 WERK RD
CINCINNATI OH
45211-6813
US

V. Phone/Fax

Practice location:
  • Phone: 513-793-2424
  • Fax: 513-793-2225
Mailing address:
  • Phone: 513-662-1700
  • Fax: 513-793-2225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberIL.02861
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: