Individual
KENNETH JOE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9825 N 10800 W, TREMONTON, UT 84337-9222
(888) 851-3677
Mailing address
9825 N 10800 W, TREMONTON, UT 84337-9222
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
43661
OR
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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