Kenny Lee

NPI #1891198438 in Fortuna, California

Provider Information

NPI Number: 1891198438
Entity Type: Individual
Name: Kenny Lee
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Sep 26, 2014
Last Updated: Sep 26, 2014

Practice Location

Address: 1065 S FORTUNA BLVD
City: Fortuna
State: California
ZIP Code: 95540-3010
Phone: (707) 726-0377

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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