Provider Demographics
NPI:1417794298
Name:KEESEE ENT.
Entity type:Organization
Organization Name:KEESEE ENT.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:FORD
Authorized Official - Last Name:KEESEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-650-5705
Mailing Address - Street 1:486 E RAINES RD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38109-8331
Mailing Address - Country:US
Mailing Address - Phone:901-650-5705
Mailing Address - Fax:
Practice Address - Street 1:486 E RAINES RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38109-8331
Practice Address - Country:US
Practice Address - Phone:901-650-5705
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-10
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle