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NPI Code Detail

MEDICARE: SHANERA KEE

MEDICARE: SHANERA KEE
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
1171M00000XCase Manager/Care Coordinator
2104100000XSocial Worker

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235629494
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANERA KEE
Provider Business Mailing Address
First Line : 1216 ARCH ST FL 6
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19107-2835
Country : US
Telephone Number : 215-586-7605
Fax Number : 215-386-2604
Provider Business Practice Location Address
First Line : 3600 MARKET ST FL 6
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-2669
Country : US
Telephone Number : 215-586-7605
Fax Number : 215-386-2604
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2018
Last Update Date : 09/08/2021

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Directions to “ SHANERA KEE ” Practice Location

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