Individual
KANGJUN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 S. NATIONAL AVE., SPRINGFIELD, MO 65897
(417) 836-8924
Mailing address
821 E. BATTLEFIELD RD. D39, SPRINGFIELD, MO 65807
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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