Individual provider · Type 1 NPI
Kyoung Kelly Lee, NP
Obstetrics & Gynecology Nurse Practitioner · Portage, MI
NPI number
1790765139
Active
Practice location
3300 West Centre Ave, Bronson Ob/gyn Associates
Portage, MI 49024
Fax (269) 327-0273
Mailing address
PO Box 42, 601 John Street
Kalamazoo, MI 49007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner Primary | 363LX0001X | 4704247830 (MI) |
Obstetrics & Gynecology Nurse Practitioner: Definition to come...
About NPI 1790765139
Kyoung Kelly Lee, NP's National Provider Identifier is 1790765139, issued on Jan 20, 2006. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Portage, MI. The record was last updated on Jul 13, 2026.