Individual
KATHRYN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
6025 WALNUT GROVE RD STE 301, MEMPHIS, TN 38120-2123
(901) 226-0456
(901) 226-0458
Mailing address
466 JACK KRAMER DR, MEMPHIS, TN 38117-4342
(913) 961-7547
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
3164
TN
363AS0400X
Surgical Physician Assistant
PA00503
MS
Other
Enumeration date
02/07/2017
Last updated
10/15/2021
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