| Doctor Name: | KATHLEEN LEE |
| NPI Number: | 1033583695 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CPNP |
| License Number: | 805081 |
| Business Practice Address: | 804 Kenyon Rd Fort Dodge, IA - 505015742 |
| Business Phone Number: | 5155746896 |
| Business Fax Number: | |
| Mailing Address: | 502 N 9th St, FORT DODGE |
| State: | IA |
| Postal Code: | 505013225 |
| Phone Number: | 8065980556 |
| Fax Number: | |
| NPI Enumeration Date: | 11/19/2015 |
| NPI Last Update Date: | 11/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0200X |
| License Number: | 805081 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |