Basic Information
Provider Information
NPI: 1740700855
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KEE
FirstName: ALISON
MiddleName: NICOLE
NamePrefix: MRS.
NameSuffix:  
Credential: M.S., CF-SLP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2741 MARYLAND AVE APT 3
Address2:  
City: BALTIMORE
State: MD
PostalCode: 212184796
CountryCode: US
TelephoneNumber: 5014221551
FaxNumber:  
Practice Location
Address1: 12580 OLD SEWARD HWY
Address2:  
City: ANCHORAGE
State: AK
PostalCode: 995153506
CountryCode: US
TelephoneNumber: 9073014588
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/21/2017
LastUpdateDate: 06/21/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
235Z00000X AKY Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 

No ID Information.


Home