Individual
KATHERINE SUZANNE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12400 E US HIGHWAY 40, INDEPENDENCE, MO 64055-5929
(816) 890-9507
(816) 890-9516
Mailing address
13851 W 63RD ST # 203, SHAWNEE, KS 66216-3800
(816) 890-9507
(816) 890-9516
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2020033778
MO
207Q00000X
Family Medicine Physician
4301112969
MI
207Q00000X
Family Medicine Physician
4351034526
MI
Other
Enumeration date
06/15/2017
Last updated
10/13/2023
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