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NPI Code Detail

MEDICARE: MELISSA KEESEY

MEDICARE: MELISSA KEESEY
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
1101YP2500XProfessional Counselor8369-226WI

General Provider Information

NPI Number : 1497603187
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA KEESEY
Provider Business Mailing Address
First Line : 540 E GRAND AVE
Second Line :
City : BELOIT
State : WI
Zip : 53511-6314
Country : US
Telephone Number : 608-368-8087
Fax Number : 608-367-0340
Provider Business Practice Location Address
First Line : 540 E GRAND AVE
Second Line :
City : BELOIT
State : WI
Zip : 53511-6314
Country : US
Telephone Number : 608-368-8087
Fax Number : 608-367-0340
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2026
Last Update Date : 03/18/2026

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Directions to “ MELISSA KEESEY ” Practice Location

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