Individual
KYLA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN-RN
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Mailing address
PO BOX 51, KIRTLAND, NM 87417-0051
(870) 314-4787
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
R086530
AR
Other
Enumeration date
11/14/2019
Last updated
02/13/2025
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