Provider Demographics
NPI:1891732558
Name:MACPHEE, KEELEE JOY (MD)
Entity Type:Individual
Prefix:
First Name:KEELEE
Middle Name:JOY
Last Name:MACPHEE
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 1:5826 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
Is Sole Proprietor?:Yes
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?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC140PMOtherBLUE CROSS/BLUE SHIELD
NC5900970Medicaid
NC140PMOtherBLUE CROSS/BLUE SHIELD
NC2041821Medicare ID - Type Unspecified