Lee, Kenia Victoria

Lee, Kenia Victoria is an individual health care provider with primary practice located at 806 W 3Rd St , San Juan TX 78589. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Perinatal, which is considered as her primary health care specialty. Lee, Kenia Victoria can be contacted via phone (956) 787-8915.

Contact Information

Primary practice address
806 W 3Rd St San Juan TX 78589
Phone: (956) 787-8915
Fax: (956) 787-2021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Perinatal 363LP1700X AP110044 Texas

Profile Details

NPI number 1598763450
LBN Legal business name Lee, Kenia Victoria
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Aug 31st, 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 1598763450 NPPES
Texas MEDICAID 320648401

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