Provider Demographics
NPI:1639382997
Name:KLEE, DAVID ALEXANDER (RN, PCNS)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:ALEXANDER
Last Name:KLEE
Suffix:
Gender:M
Credentials:RN, PCNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:96 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01880-1842
Mailing Address - Country:US
Mailing Address - Phone:617-306-0692
Mailing Address - Fax:
Practice Address - Street 1:160 GOULD ST
Practice Address - Street 2:SUITE 300
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02494-2313
Practice Address - Country:US
Practice Address - Phone:781-559-4900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2015-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN271366364SP0807X
MA271366163WP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0807XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Child & Adolescent
No163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent