Individual
KENDRA B. LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 W BROADWAY ST, MISSOULA, MT 59802-4008
(406) 721-5600
(406) 329-7524
Mailing address
PO BOX 7609, MISSOULA, MT 59807-7609
(406) 721-5600
(406) 721-3907
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11643
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8398992
—
WA
Enumeration date
06/21/2005
Last updated
06/25/2021
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