Individual
MRS. KENDRA LORRAINE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1001 S KNIK GOOSE BAY RD, WASILLA, AK 99654-8083
(907) 631-7800
Mailing address
4501 DIPLOMACY DR, ANCHORAGE, AK 99508-5919
(800) 478-3343
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
132756
AK
363LF0000X
Family Nurse Practitioner
LEE1-YIBGK1
NC
363LP2300X
Primary Care Nurse Practitioner
132756
AK
Other
Enumeration date
02/02/2018
Last updated
02/19/2019
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