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Individual

KIM OANH OANH LE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3617 ROSWELL RD NE STE A, ATLANTA, GA 30305-1111
(404) 996-0196
(404) 467-2489
Mailing address
4973 LAKESIDE DR, DUNWOODY, GA 30360-1740
(248) 219-2339

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
11265
CT
363LF0000X
Family Nurse Practitioner
4704304130
MI
363LF0000X
Family Nurse Practitioner
Primary
APRN-NP323107
GA
363LF0000X
Family Nurse Practitioner
APRN.CNP.0027846
OH

Other

Enumeration date
06/22/2020
Last updated
10/29/2025
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