Individual
HEIDI L. LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
67 KINGSWOOD DR, CAMPBELLSVILLE, KY 42718-9647
(270) 849-2379
Mailing address
67 KINGSWOOD DR, CAMPBELLSVILLE, KY 42718-9647
(270) 849-2379
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
3003647
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000354691
ANTHEM BCBS
KY
01
—
000000597283
ANTHEM BLUE CROSS
KY
05
—
78006277
—
KY
Enumeration date
11/28/2005
Last updated
01/20/2016
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