Provider Demographics
NPI:1801697271
Name:PREE, KEIAUNDRA
Entity type:Individual
Prefix:
First Name:KEIAUNDRA
Middle Name:
Last Name:PREE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6425 S WASHTENAW AVE APT 1S
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60629-1733
Mailing Address - Country:US
Mailing Address - Phone:312-383-3904
Mailing Address - Fax:
Practice Address - Street 1:6425 S WASHTENAW AVE APT 1S
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60629-1733
Practice Address - Country:US
Practice Address - Phone:312-383-3904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-21
Last Update Date:2025-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula