Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224P00000X | Prosthetist | 344 | TX |
NPI | 1144675083 |
---|---|
Provider Name | Scott Kee |
First Address | Houston, TX 77074-2012 |
Second Address | Houston, TX 77074-2012 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2016 |
Last Update Date | 28/04/2016 |