Individual
KIRK J LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
8335 RIVER RD, COTTRELLVILLE, MI 48039-3342
(810) 278-7009
(810) 765-3977
Mailing address
8335 RIVER RD, COTTRELLVILLE, MI 48039-3342
(810) 278-7009
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
4704239545
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704239545
RN LICENSE
MI
Enumeration date
06/23/2021
Last updated
06/23/2021
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