Kelsey Lee
Family Medicine in Fresno, CA. Individual provider (NPI-1).
NPI number1164059911
StatusActive
Last updated in NPPESSep 6, 2024
Details
- NPI
- 1164059911
- Entity type
- Individual (NPI-1)
- Name
- Kelsey Lee
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 23, 2020
- Certification date
- Sep 6, 2024
- Last updated
- Sep 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 20A20302 | CA | Yes |
Practice location
1649 Van Ness AveFresno, CA 93721-1128
Phone 800-637-3187
Mailing address
1649 Van Ness AveFresno, CA 93721-1128
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