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NPI Code Detail

MEDICARE: MISS KIMBERLY GAIL LEE NP

MEDICARE:  MISS KIMBERLY GAIL LEE  NP
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
1363LA2100XAcute Care Nurse PractitionerAPRN-NP198792GA
2363LA2100XAcute Care Nurse PractitionerRN198792GA

General Provider Information

NPI Number : 1932748605
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS KIMBERLY GAIL LEE NP
Provider Business Mailing Address
First Line : 1551 DOCTORS DR
Second Line :
City : LAGRANGE
State : GA
Zip : 30240-4139
Country : US
Telephone Number : 706-880-7222
Fax Number :
Provider Business Practice Location Address
First Line : 710 CENTER ST
Second Line :
City : COLUMBUS
State : GA
Zip : 31901-1527
Country : US
Telephone Number : 706-571-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2019
Last Update Date : 05/21/2026

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Directions to “ MISS KIMBERLY GAIL LEE NP” Practice Location

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