Individual
KYUNG-HEE STELLA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN PNP
Contact information
Practice address
2625 N KING ST CLINICAL SERVICES, FLAGSTAFF, AZ 86004
(928) 679-7222
Mailing address
2625 N KING ST CLINICAL SERVICES, FLAGSTAFF, AZ 86004
(928) 679-7222
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
AP1060
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
910431
AHCCCS
AZ
Enumeration date
05/23/2008
Last updated
05/23/2008
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