Provider Demographics
NPI:1215004593
Name:SHEY, KELLEE ANN (DR)
Entity Type:Individual
Prefix:
First Name:KELLEE
Middle Name:ANN
Last Name:SHEY
Suffix:
Gender:F
Credentials:DR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:812 SECOND STREET
Mailing Address - Street 2:PO BOX 183
Mailing Address - City:WEBSTER CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50595-0183
Mailing Address - Country:US
Mailing Address - Phone:515-832-2291
Mailing Address - Fax:515-832-2234
Practice Address - Street 1:812 SECOND STREET
Practice Address - Street 2:
Practice Address - City:WEBSTER CITY
Practice Address - State:IA
Practice Address - Zip Code:50595-0183
Practice Address - Country:US
Practice Address - Phone:515-832-2291
Practice Address - Fax:515-832-2234
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA70641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice