Lee, Kodi

Lee, Kodi is an individual health care provider with primary practice located at 120 Southwinds Rd Ste 120 , Farmington AR 72730-8652. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Lee, Kodi can be contacted via phone (479) 300-6400.

Contact Information

Primary practice address
120 Southwinds Rd Ste 120 Farmington AR 72730-8652
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X

Profile Details

NPI number 1861245540
LBN Legal business name Lee, Kodi
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2024
Last updated Apr 10th, 2024 - about 2 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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