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MS. KIM N LE PA-C

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1780217463

Individual Registrant:
MS. KIM N LE PA-C
Gender: F
Not Sole Proprietor

Location and contact information for practice:
MILE POST 388 HIGHWAY 264  POLACCA, AZ 86042 US
Tel: 928-737-6000  Fax: --

Contact information for business:
PO BOX 654  POLACCA, AZ 86042-0654 US
Tel: 704-941-7187  Fax: --

Registration Information:
NPI: 1780217463
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
AZ7550

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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