Individual
KIMBERLY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35 MILLER LN, CHAPMANVILLE, WV 25508-7501
(304) 555-5555
Mailing address
35 MILLER LN, CHAPMANVILLE, WV 25508-7501
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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