Provider Demographics
NPI:1487391470
Name:KEE CARE, LLC
Entity type:Organization
Organization Name:KEE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TAMICKO
Authorized Official - Middle Name:TOENETTE EVONE
Authorized Official - Last Name:BELIN
Authorized Official - Suffix:
Authorized Official - Credentials:RMA-AMT, MHA
Authorized Official - Phone:704-793-8152
Mailing Address - Street 1:349 COPPERFIELD BLVD STE # L #390
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025
Mailing Address - Country:US
Mailing Address - Phone:704-793-8152
Mailing Address - Fax:
Practice Address - Street 1:271 COLLINGSWOOD DR NW
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027
Practice Address - Country:US
Practice Address - Phone:704-412-1259
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-19
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory