Individual
KATHLEEN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1400 S COULTER ST, AMARILLO, TX 79106-1786
(806) 414-9800
(806) 354-5689
Mailing address
1400 WALLACE BLVD, AMARILLO, TX 79106-1708
(806) 414-9800
(806) 354-5689
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
805081
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
AP129251
TX
363LP0200X
Pediatric Nurse Practitioner
C142378
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05102707
—
NM
05
—
200750990A
—
OK
05
—
380691101
—
TX
05
—
380691102
—
TX
Enumeration date
11/19/2015
Last updated
12/06/2018
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