Individual
KATHY QUYNH LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 AVENUE F, BOGALUSA, LA 70427-3634
(985) 732-0058
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-3831
(239) 343-2301
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME176100
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127991200
—
FL
Enumeration date
04/07/2022
Last updated
09/03/2025
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