Individual
KENNETH ANDREW LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2472 S 300 E, SOUTH SALT LAKE, UT 84115-2895
(801) 466-2211
Mailing address
1895 S MCCLELLAND ST APT 4, SALT LAKE CITY, UT 84105-3435
(435) 922-5943
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
14184238-3102
UT
Other
Enumeration date
12/24/2024
Last updated
12/24/2024
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