Individual
MR. KYUNG WOON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1035 PLACER ST, REDDING, CA 96001-1170
(530) 246-5883
(530) 244-7846
Mailing address
1035 PLACER ST, REDDING, CA 96001-1170
(530) 246-5883
(530) 244-7846
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
NP95006454
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP95006454
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP95006454
FAMILY AND MENTAL HEALTH NURSE PRACTITIONER
CA
Enumeration date
07/11/2014
Last updated
09/18/2025
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