Individual
SOO JIN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15630 E 21ST CT N, WICHITA, KS 67228-7400
(316) 794-6133
(316) 794-6133
Mailing address
600 MEDICAL CENTER DR, NEWTON, KS 67114-8780
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
15165710102
KS
Other
Enumeration date
06/07/2025
Last updated
06/07/2025
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