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NPI Code Detail

MEDICARE: KELSEY KEE MS, PA-C

MEDICARE: KELSEY KEE MS, PA-C
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
1363A00000XPhysician Assistant6722TN

General Provider Information

NPI Number : 1639921349
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSEY KEE MS, PA-C
Provider Business Mailing Address
First Line : 468 HALLE PARK DR
Second Line :
City : COLLIERVILLE
State : TN
Zip : 38017-7089
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 468 HALLE PARK DR
Second Line :
City : COLLIERVILLE
State : TN
Zip : 38017-7089
Country : US
Telephone Number : 901-295-5330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2024
Last Update Date : 12/18/2025

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