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Individual

KELLY JIEUN LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
328 CRYSTAL CITY HWY, UVALDE, TX 78801-6124
(800) 662-6052
Mailing address
7703 FLOYD CURL DR # MC7792, SAN ANTONIO, TX 78229-3901

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
U8550
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/10/2020
Last updated
08/15/2024
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