Provider Demographics
NPI:1265569800
Name:STEPHEN R. KEES, DMD
Entity type:Organization
Organization Name:STEPHEN R. KEES, DMD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:KEES
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:859-331-4449
Mailing Address - Street 1:2370 GRANDVIEW DR
Mailing Address - Street 2:
Mailing Address - City:FT MITCHELL
Mailing Address - State:KY
Mailing Address - Zip Code:41017-1633
Mailing Address - Country:US
Mailing Address - Phone:859-331-4449
Mailing Address - Fax:859-331-4474
Practice Address - Street 1:2370 GRANDVIEW DR
Practice Address - Street 2:
Practice Address - City:FT MITCHELL
Practice Address - State:KY
Practice Address - Zip Code:41017-1633
Practice Address - Country:US
Practice Address - Phone:859-331-4449
Practice Address - Fax:859-331-4474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty