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Dr. Kerry Todd Lee, MD
Family Medicine Physician in Grenada, Mississippi
NPI 1467470799

Kerry Todd Lee is a Family Medicine Physician based in Grenada, MS. Kerry Todd Lee practices in Grenada, MS and has the professional credentials of MD. The NPI Number for Kerry Todd Lee is 1467470799 and holds a License No. 12517 (Mississippi).

The current practice location address for Kerry Todd Lee is 1300 Sunset Dr, Grenada, MS and can be reached out via phone at 662-226-5747 and via fax at 662-226-5622.

Location: 1300 Sunset Dr, Grenada, MS, 38901-4086
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467470799
Provider Name
Kerry Todd Lee
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1300 Sunset Dr, Grenada, MS, 38901-4086
Phone Number
662-226-5747
Fax Number
662-226-5622
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
080175512 01 MS RAILROAD MEDICARE
CH9466 01 MS RAILROAD MEDICARE GROUP
09014826 05 MS
09013778 05 MS
1700994738 01 MS PECOS
640835695 01 MS BC/BS OF MISSISSIPPI
0112670 05 MS
institution
Provider Business Practice Location Address Details
Address
1300 Sunset Dr
City
Grenada
State
Mississippi
Zip
38901-4086
Phone Number
662-226-5747
Fax Number
662-226-5622
person
Provider Business Mailing Address Details
Address
1300 Sunset Dr
City
Grenada
State
Mississippi
Zip
38901-4086
Phone Number
662-226-5747
Fax Number
662-226-5622
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
12517 (Mississippi)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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