Individual
KRISTEN KYUNGHYUN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
815 E WARNER RD STE 104, CHANDLER, AZ 85225-1057
(623) 466-6350
Mailing address
815 E WARNER RD STE 104, CHANDLER, AZ 85225-1057
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8149
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2019
Last updated
01/07/2022
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