NPI Code Details Logo

NPI 1609295179

NPI 1609295179 : VENESSA ANN LEE M.D. : KANSAS CITY, KS

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1609295179
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    VENESSA ANN LEE M.D.
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/14/2014
-----------------------------------------------------
    Last Update Date     |    05/29/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    4000 CAMBRIDGE ST 
-----------------------------------------------------
    City                 |    KANSAS CITY
-----------------------------------------------------
    State                |    KS
-----------------------------------------------------
    Zip                  |    66160-8501
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    913-588-1227
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3600 FORBES AVENUE FORBES TOWER-PLAZA LEVEL SUITE 140
-----------------------------------------------------
    City                 |    PITTSBURGH
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    15213
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    801-581-7606
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    208100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Medicine & Rehabilitation Physician
-----------------------------------------------------
    License Number       |    9560107-1205
-----------------------------------------------------
    License Number State |    UT
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    2081P0004X
-----------------------------------------------------
    Taxonomy Name        |    Spinal Cord Injury Medicine Physician
-----------------------------------------------------
    License Number       |    2021038408
-----------------------------------------------------
    License Number State |    MO
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    2081P0004X
-----------------------------------------------------
    Taxonomy Name        |    Spinal Cord Injury Medicine Physician
-----------------------------------------------------
    License Number       |    04-45244
-----------------------------------------------------
    License Number State |    KS
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.