Provider Demographics
NPI:1710359104
Name:KEES, BRIAN (MS INTERN)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:
Last Name:KEES
Suffix:
Gender:M
Credentials:MS INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1410 E 41ST PL
Mailing Address - Street 2:#87
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74105-4012
Mailing Address - Country:US
Mailing Address - Phone:504-495-2102
Mailing Address - Fax:
Practice Address - Street 1:1410 E 41ST PL
Practice Address - Street 2:#87
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74105-4012
Practice Address - Country:US
Practice Address - Phone:504-495-2102
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-23
Last Update Date:2015-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health