Provider Demographics
NPI:1427930460
Name:KEE, JAMIE L (MEDICAL ASSISTANT)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:L
Last Name:KEE
Suffix:
Gender:F
Credentials:MEDICAL ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3128 KINGS REALM AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-5498
Mailing Address - Country:US
Mailing Address - Phone:614-743-0379
Mailing Address - Fax:
Practice Address - Street 1:411 S OHIO AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43205-2380
Practice Address - Country:US
Practice Address - Phone:614-743-0379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-22
Last Update Date:2025-08-25
Deactivation Date:2025-07-24
Deactivation Code:
Reactivation Date:2025-08-25
Provider Licenses
StateLicense IDTaxonomies
OH363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical