Provider Demographics
NPI:1023546132
Name:KEE, SHAWNAH KAYE (ATC)
Entity Type:Individual
Prefix:
First Name:SHAWNAH
Middle Name:KAYE
Last Name:KEE
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31856 BARCLAY LOOP
Mailing Address - Street 2:
Mailing Address - City:WARSAW
Mailing Address - State:MO
Mailing Address - Zip Code:65355-4804
Mailing Address - Country:US
Mailing Address - Phone:660-723-9011
Mailing Address - Fax:
Practice Address - Street 1:314 E 4TH ST APT 1
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NE
Practice Address - Zip Code:68787-2048
Practice Address - Country:US
Practice Address - Phone:660-723-9011
Practice Address - Fax:660-723-9011
Is Sole Proprietor?:No
Enumeration Date:2017-06-02
Last Update Date:2017-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer