Individual provider · Type 1 NPI
Kimberly Antonette Lee, FNP-C; PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Los Angeles, CA
NPI number
1588162002
Active
Practice location
10511 S Western Ave
Los Angeles, CA 90047-4458
Fax (323) 305-3405
Mailing address
2851 W 120th St Ste E242
Hawthorne, CA 90250-3395
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95007992 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95007992 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1588162002
Kimberly Antonette Lee, FNP-C; PMHNP-BC's National Provider Identifier is 1588162002, issued on Jan 30, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Los Angeles, CA. The record was last updated on Jan 11, 2023.