Kaitlyn D Lees, LSW

Individual provider Active NPI Case Manager/Care Coordinator · Stanley, ND

NPI 1912366287 · NPPES record last updated Feb 16, 2016

Key facts

NPI
1912366287
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
18 2ND Ave SE
Stanley, ND 58784-0039
Phone
(701) 628-2925
Fax
(701) 628-3175
NPI assigned
Feb 16, 2016
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
Case Manager/Care Coordinator 171M00000X ND Yes

Addresses

Primary practice location

18 2ND Ave SE
Stanley, ND 58784-0039

Mailing address

PO Box 39
18 2ND Ave SE
Stanley, ND 58784-0039
Phone (701) 628-2925

Other identifiers

IdentifierTypeStateIssuer
5149OtherNDSW LICENSE

Other providers in Stanley, ND

All providers in Stanley, ND · Case Manager/Care Coordinator in North Dakota

Sources for this page

Verify at the official NPI Registry.