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Justin Kyle Lee

Case Manager/Care Coordinator in Russellville, AR. Individual provider (NPI-1).

NPI number1124267166
StatusActive
Last updated in NPPESFeb 16, 2009

Details

NPI
1124267166
Entity type
Individual (NPI-1)
Name
Justin Kyle Lee
Sex
Male
Sole proprietor
No
Enumeration date
Feb 16, 2009
Last updated
Feb 16, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

110 Skyline Dr
Russellville, AR 72801-3362

Phone 479-968-1298 · Fax 479-968-6053

Mailing address

1404 E 16th St
Russellville, AR 72802-2648

Phone 479-967-2022 · Fax 479-967-5314

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