Individual provider · Type 1 NPI

Kyusun Lee

Gerontology Nurse Practitioner · Chattanooga, TN

NPI number 1174477434 Active

Practice location

1751 Gunbarrel Rd
Chattanooga, TN 37421-7177

Mailing address

979 E 3rd St
Chattanooga, TN 37403-2136

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X40733 (TN)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1174477434

Kyusun Lee's National Provider Identifier is 1174477434, issued on Feb 24, 2026. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Chattanooga, TN. The record was last updated on Feb 24, 2026.