Individual
MS. KATHLEEN C. LEES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
46 FAIRVIEW AVE, SKOWHEGAN, ME 04976-1481
(207) 474-5121
Mailing address
PO BOX 468, SKOWHEGAN, ME 04976-0468
(207) 474-5121
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA629
ME
363AM0700X
Medical Physician Assistant
Primary
PA629
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962447862
—
ME
Enumeration date
06/17/2006
Last updated
09/05/2023
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