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NPI Code Detail

MEDICARE: MRS. KIM LE FNP-C

MEDICARE: MRS. KIM LE FNP-C
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
1363LF0000XFamily Nurse PractitionerAP125321TX

General Provider Information

NPI Number : 1598181661
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KIM LE FNP-C
Provider Business Mailing Address
First Line : 601 S MAIN ST, SUITE 200
Second Line :
City : KELLER
State : TX
Zip : 76248
Country : US
Telephone Number : 817-753-6888
Fax Number :
Provider Business Practice Location Address
First Line : 601 S MAIN ST STE 200
Second Line :
City : KELLER
State : TX
Zip : 76248-7028
Country : US
Telephone Number : 817-753-6888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2014
Last Update Date : 10/01/2014

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Directions to “ MRS. KIM LE FNP-C” Practice Location

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