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NPI Code Detail

MEDICARE: EMILY KEE MS RDN CD

MEDICARE:   EMILY  KEE  MS RDN CD
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
1133V00000XRegistered Dietitian1098466WI

General Provider Information

NPI Number : 1104329630
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY KEE MS RDN CD
Provider Business Mailing Address
First Line : 410 W HAMPTON AVE APT 312
Second Line :
City : MILWAUKEE
State : WI
Zip : 53217-5410
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8770 W BRYN MAWR AVE STE 1330
Second Line :
City : CHICAGO
State : IL
Zip : 60631-3515
Country : US
Telephone Number : 800-761-9200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2018
Last Update Date : 03/12/2018

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