Individual
MRS. KRISTIN ALYCE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
201 PARK ST, BOWLING GREEN, KY 42101-1708
(270) 781-5111
(270) 783-3748
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1708
(270) 781-5111
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
240752
TN
363L00000X
Nurse Practitioner
3015348
KY
363LF0000X
Family Nurse Practitioner
28531
TN
363LF0000X
Family Nurse Practitioner
Primary
3015348
KY
Other
Enumeration date
06/28/2020
Last updated
12/22/2021
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