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NPI Code Detail

MEDICARE: GRACE KIM LEE

MEDICARE:   GRACE KIM LEE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health Aide

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518791433
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRACE KIM LEE
Provider Business Mailing Address
First Line : 2000 BRAEMAR DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43220-3026
Country : US
Telephone Number : 614-271-2810
Fax Number :
Provider Business Practice Location Address
First Line : 2000 BRAEMAR DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43220-3026
Country : US
Telephone Number : 614-271-2810
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2024
Last Update Date : 10/08/2024

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Directions to “ GRACE KIM LEE ” Practice Location

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