Individual
MR. PAUL KENNETH LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
400 HOSPITAL RD, STARKVILLE, MS 39759-2163
(662) 615-3020
(662) 615-3021
Mailing address
1704 LINDEN CIR, STARKVILLE, MS 39759-3617
(662) 312-3983
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATO120
MS
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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