Lee, Kimberly Nicole

Lee, Kimberly Nicole is an individual health care provider with primary practice located at 105 Broadmoor Dr , Madison MS 39110-6651. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Lee, Kimberly Nicole can be contacted via phone (601) 856-5227.

Contact Information

Primary practice address
105 Broadmoor Dr Madison MS 39110-6651
Phone: (601) 856-5227
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4127-20 Mississippi

Profile Details

NPI number 1841817657
LBN Legal business name Lee, Kimberly Nicole
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2020
Last updated Jun 26th, 2020 - about 4 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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