Provider Demographics
NPI:1962470856
Name:KEE, DIANE K (MSRNCS)
Entity Type:Individual
Prefix:
First Name:DIANE
Middle Name:K
Last Name:KEE
Suffix:
Gender:F
Credentials:MSRNCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:370 PROSPECT PL
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-5467
Mailing Address - Country:US
Mailing Address - Phone:678-393-3374
Mailing Address - Fax:678-393-9374
Practice Address - Street 1:370 PROSPECT PL
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-5467
Practice Address - Country:US
Practice Address - Phone:678-393-3374
Practice Address - Fax:678-393-9374
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAR13116163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAR13116Medicare UPIN
GA89CCCCFMedicare ID - Type UnspecifiedMEDICARE ID NUMBER