MEDICARE: KATHLEEN VELTE-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
1	163WH0200X	Home Health Registered Nurse	R043237	MD
2	163WL0100X	Lactation Consultant (Registered Nurse)	11098943	MD

General Provider Information

NPI Number	:	1609120104
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN VELTE-LEE

Provider Business Mailing Address
First Line	:	2112 FOREST GLEN RD
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-1122
Country	:	US
Telephone Number	:	240-476-2920
Fax Number	:

Provider Business Practice Location Address
First Line	:	2112 FOREST GLEN RD
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-1122
Country	:	US
Telephone Number	:	240-476-2920
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/05/2012
Last Update Date	:	11/05/2012

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Directions to “ KATHLEEN VELTE-LEE ” Practice Location

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