Pamela Lee

Individual provider Active NPI Prosthetics Case Management · Fountain Run, KY

NPI 1821313255 · NPPES record last updated Mar 29, 2010

Key facts

NPI
1821313255
Entity type
Individual (NPI type 1)
Primary specialty
Prosthetics Case Management 1744P3200X
Practice address
752 Runaway Dr
Fountain Run, KY 42133-8539
Phone
(270) 590-4466
Fax
(270) 434-3540
NPI assigned
Mar 29, 2010
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management 1744P3200X Yes

Addresses

Primary practice location

752 Runaway Dr
Fountain Run, KY 42133-8539

Mailing address

752 Runaway Dr
Fountain Run, KY 42133-8539
Phone (270) 590-4466

Other providers in Fountain Run, KY

All providers in Fountain Run, KY · Prosthetics Case Management in Kentucky

Sources for this page

Verify at the official NPI Registry.