MEDICARE: DR. DAVID KEE TOM M.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	207L00000X	Anesthesiology Physician	43118	AZ
2	208VP0014X	Interventional Pain Medicine Physician	43118	AZ
3	207LP2900X	Pain Medicine (Anesthesiology) Physician	43118	AZ
4	207R00000X	Internal Medicine Physician	43118	AZ

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	:	1043491988
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID KEE TOM M.D.

Provider Business Mailing Address
First Line	:	PO BOX 5068
Second Line	:
City	:	SUN CITY WEST
State	:	AZ
Zip	:	85376
Country	:	US
Telephone Number	:	623-777-4747
Fax Number	:

Provider Business Practice Location Address
First Line	:	13203 N 103RD AVE STE H5
Second Line	:
City	:	SUN CITY
State	:	AZ
Zip	:	85351-3032
Country	:	US
Telephone Number	:	623-777-4747
Fax Number	:

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

Provider Enumeration Date	:	11/20/2007
Last Update Date	:	02/15/2024

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Directions to “ DR. DAVID KEE TOM M.D.” Practice Location

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