Provider Demographics
NPI:1598032104
Name:KEE, CHANDRA ANGELENA (MD)
Entity Type:Individual
Prefix:DR
First Name:CHANDRA
Middle Name:ANGELENA
Last Name:KEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 S WYOMING AVE UNIT 9
Mailing Address - Street 2:
Mailing Address - City:ARDMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19003-1255
Mailing Address - Country:US
Mailing Address - Phone:610-955-3270
Mailing Address - Fax:
Practice Address - Street 1:11 S WYOMING AVE UNIT 9
Practice Address - Street 2:
Practice Address - City:ARDMORE
Practice Address - State:PA
Practice Address - Zip Code:19003-1255
Practice Address - Country:US
Practice Address - Phone:610-955-3270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-27
Last Update Date:2014-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD044738E2084P0800X
DEC1-00083772084P0800X
FLME901322084P0800X
MDD604282084P0800X
CT402192084P0800X
VA01012350712084P0800X
NC2004003662084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry