Individual
LEE DAVID KLEMENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
183006-30
WI
363LA2100X
Acute Care Nurse Practitioner
Primary
6087-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568867232
—
WI
Enumeration date
10/23/2014
Last updated
04/29/2021
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