MEDICARE: BECKY 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	235Z00000X	Speech-Language Pathologist	2025053199	MO

General Provider Information

NPI Number	:	1609710391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BECKY LEE

Provider Business Mailing Address
First Line	:	2700 E 18TH ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64127-2602
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2700 E 18TH ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64127-2602
Country	:	US
Telephone Number	:	816-241-3994
Fax Number	:

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

Provider Enumeration Date	:	04/15/2026
Last Update Date	:	04/15/2026

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Directions to “ BECKY LEE ” Practice Location

Language	Start Address	Practice Location

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