Individual
KINYA A LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 E BOSTON BLVD, DETROIT, MI 48202-1369
(313) 595-3878
Mailing address
325 E BOSTON BLVD, DETROIT, MI 48202-1369
(313) 595-3878
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F05230406
MI
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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