Provider Demographics
NPI:1285671859
Name:KEELEE MACPHEE, MD, PA
Entity Type:Organization
Organization Name:KEELEE MACPHEE, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEELEE
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:MACPHEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-341-0915
Mailing Address - Street 1:5826 FAYETTEVILLE RD STE 209
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-8684
Mailing Address - Country:US
Mailing Address - Phone:919-341-0915
Mailing Address - Fax:919-341-0917
Practice Address - Street 1:5826 FAYETTEVILLE RD STE 209
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-8684
Practice Address - Country:US
Practice Address - Phone:919-341-0915
Practice Address - Fax:919-341-0917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-01
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200300651208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5901014Medicaid
NC140PMOtherBLUE CROSS/BLUE SHIELD
NC2347327Medicare ID - Type Unspecified