Doctor Name: | MS. KIMBERLY ANN LEE |
NPI Number: | 1174779656 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMP |
License Number: | MA00019934 |
Business Practice Address: | 5060 Highway 303 Ne Suite 103 Bremerton, WA - 98311 |
Business Phone Number: | 3603776335 |
Business Fax Number: | 3603776401 |
Mailing Address: | 12710 Old Military Rd Ne, POULSBO |
State: | WA |
Postal Code: | 983707984 |
Phone Number: | 3604405471 |
Fax Number: | 3603776401 |
NPI Enumeration Date: | 08/15/2008 |
NPI Last Update Date: | 08/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MA00019934 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |