person
Ms. Kyoung Kelly Lee, NP
Obstetrics & Gynecology Nurse Practitioner in Portage, Michigan
NPI 1790765139

Kyoung Kelly Lee is a Obstetrics & Gynecology Nurse Practitioner based in Kalamazoo, MI and is specialized in Obstetrics & Gynecology. Kyoung Kelly Lee practices in Portage, MI and has the professional credentials of NP. The NPI Number for Kyoung Kelly Lee is 1790765139 and holds a License No. 4704247830 (Michigan).

The current practice location address for Kyoung Kelly Lee is 3300 West Centre Ave, Portage, MI and can be reached out via phone at 269-327-2211 and via fax at 269-327-0273.

Location: 3300 West Centre Ave, Portage, MI, 49007
person
Provider Profile Details
NPI Number
1790765139
Provider Name
Kyoung Kelly Lee
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
3300 West Centre Ave, Portage, MI, 49007
Phone Number
269-327-2211
Fax Number
269-327-0273
Provider Enumeration Date
01/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4770217 05 MI
institution
Provider Business Practice Location Address Details
Address
3300 West Centre Ave
City
State
Zip
49024
Phone Number
269-327-2211
Fax Number
269-327-0273
person
Provider Business Mailing Address Details
Address
3300 West Centre Ave
City
State
Zip
49024
Phone Number
269-327-2211
Fax Number
269-327-0273
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Obstetrics & Gynecology
Taxonomy
License No.
4704247830 (Michigan)
Definition
Definition to come...
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