Lee, Kathleen

Lee, Kathleen is an individual health care provider with primary practice located at 1400 S Coulter St , Amarillo TX 79106-1786. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Lee, Kathleen can be contacted via phone (806) 414-9800.

Contact Information

Primary practice address
1400 S Coulter St Amarillo TX 79106-1786
Phone: (806) 414-9800
Fax: (806) 354-5689
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 805081 Texas
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X C142378 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP129251 Texas

Profile Details

NPI number 1033583695
LBN Legal business name Lee, Kathleen
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2015
Last updated Dec 6th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033583695 NPPES
New Mexico MEDICAID 05102707
New Mexico MEDICAID 200750990A
New Mexico MEDICAID 380691102
New Mexico MEDICAID 380691101

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