Provider Demographics
NPI:1366691784
Name:KEE, EURINA Y (RN, MS, CRRN)
Entity Type:Individual
Prefix:
First Name:EURINA
Middle Name:Y
Last Name:KEE
Suffix:
Gender:F
Credentials:RN, MS, CRRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 HIGHLAND STATION DR
Mailing Address - Street 2:STE 3007
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-6571
Mailing Address - Country:US
Mailing Address - Phone:678-714-9620
Mailing Address - Fax:678-714-9513
Practice Address - Street 1:530 HIGHLAND STATION DR
Practice Address - Street 2:STE 3007
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-6571
Practice Address - Country:US
Practice Address - Phone:678-714-9620
Practice Address - Fax:678-714-9513
Is Sole Proprietor?:No
Enumeration Date:2008-09-09
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA174715163WR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0400XNursing Service ProvidersRegistered NurseRehabilitation