Provider Demographics
NPI:1275195711
Name:LEE, BRENDA L (APRN)
Entity Type:Individual
Prefix:
First Name:BRENDA
Middle Name:L
Last Name:LEE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 US HIGHWAY 60 E
Mailing Address - Street 2:
Mailing Address - City:MORGANFIELD
Mailing Address - State:KY
Mailing Address - Zip Code:42437-1169
Mailing Address - Country:US
Mailing Address - Phone:270-285-1100
Mailing Address - Fax:270-285-1169
Practice Address - Street 1:701 US HIGHWAY 60 E
Practice Address - Street 2:
Practice Address - City:MORGANFIELD
Practice Address - State:KY
Practice Address - Zip Code:42437-1169
Practice Address - Country:US
Practice Address - Phone:270-285-1100
Practice Address - Fax:270-285-1169
Is Sole Proprietor?:No
Enumeration Date:2019-07-04
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3014346363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily