Patrick Lee Keesee, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7247 Issued in KY

Practice address

120 W Stephen Foster Ave
Suite 104
Bardstown, KY 40004-1465

Phone

(502) 348-5800

NPI assigned

Jan 17, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr. Patrick L. Keesee

  • Dentist
  • Bardstown, KY
  • NPI 1578801072
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023160355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1070",
            "address_2": "SUITE 104",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400044070",
            "telephone_number": "502-348-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W STEPHEN FOSTER AVE",
            "address_2": "SUITE 104",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041465",
            "telephone_number": "502-348-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEESEE",
        "first_name": "PATRICK",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "7247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6007247700",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Basim Kahleifeh, M.D.
• Bob S Kanovitz, MD
• KB Behavioral LLC
• KD Wheatley LLC
• Amanda Lee Keeling Walton, OTR/L
• Olivia F Kelley, M.D.
• David Wayne Kendrick, CRNA
• Kara Kennedy
• Kentuckiana Chiropractic , PSC
• Kentuckiana Foot & Ankle PLLC

• General Practice Dentistry in Bardstown, KY
• Providers in Bardstown, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.