Provider Demographics
NPI:1174737936
Name:KEE, VALLERIE B (DDS)
Entity type:Individual
Prefix:DR
First Name:VALLERIE
Middle Name:B
Last Name:KEE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5332 SAINT JAMES PL
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21703-2833
Mailing Address - Country:US
Mailing Address - Phone:301-696-1016
Mailing Address - Fax:301-696-1015
Practice Address - Street 1:4 S MCCAIN DR STE 3
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21703-6093
Practice Address - Country:US
Practice Address - Phone:301-696-1016
Practice Address - Fax:301-696-1015
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD110071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice