Lee, Kylie Renee

Lee, Kylie Renee is an individual health care provider with primary practice located at 2100 W Iowa Ave , Chickasha OK 73018-2736. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lee, Kylie Renee can be contacted via phone (405) 224-2100.

Contact Information

Primary practice address
2100 W Iowa Ave Chickasha OK 73018-2736
Phone: (405) 224-2100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 205585 Oklahoma

Profile Details

NPI number 1588335863
LBN Legal business name Lee, Kylie Renee
Credentials APRN, FNPC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2021
Last updated Jun 15th, 2023 - about 3 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 1588335863 NPPES
Oklahoma MEDICAID 201034700A

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