Kerry Todd Lee is a Family Medicine in Grenada, Mississippi. Kerry Todd Lee practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kerry Todd Lee is 1467470799. The last update date is 2010-06-28.
Kerry Todd Lee's current location address is 1300 Sunset Dr, Grenada, Mississippi. You can contact this provider via phone number 6622265747 and fax number 6622265622. The mailing address for Kerry Todd Lee is 1300 Sunset Dr, Grenada, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kerry Todd Lee |
|---|---|
| Address | 1300 Sunset Dr, Grenada, Mississippi |
| Phone Number | 6622265747 |
| Fax Number | 6622265622 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1467470799 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2010-06-28 |
Provider Mailing Address Detail
| Address | 1300 Sunset Dr |
|---|---|
| City | Grenada |
| State | Mississippi (MS) |
| Post Code | 389014086 |
| Phone Number | 6622265747 |
| Fax Number | 6622265622 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 12517 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 80175512 | MS | RAILROAD MEDICARE | |
| CH9466 | MS | RAILROAD MEDICARE GROUP | |
| 9014826 | MS | -- | |
| 9013778 | MS | -- | |
| 1700994738 | MS | PECOS | |
| 640835695 | MS | BC/BS OF MISSISSIPPI | |
| 112670 | MS | -- |
Post Comment/ Review Below
What is the Kerry Todd Lee's unique identification number?
The Kerry Todd Lee has been assigned the NPI (National Provider Identifier) Number 1467470799 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Kerry Todd Lee is located?
The Kerry Todd Lee is situated at the following address: 1300 Sunset Dr, Grenada, MS, 389014086.
What is Kerry Todd Lee's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kerry Todd Lee's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did Kerry Todd Lee receive its 1467470799 assignment from the Centers for Medicare & Medicaid Services?
The Kerry Todd Lee was assigned its 1467470799 on 2006-07-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Kerry Todd Lee, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kerry Todd Lee, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-06-28.