Provider Demographics
NPI:1437493954
Name:LEE, MAY KHANG (FNP)
Entity Type:Individual
Prefix:
First Name:MAY
Middle Name:KHANG
Last Name:LEE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1940 BRIARWOOD DR STE B
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-5497
Mailing Address - Country:US
Mailing Address - Phone:828-294-1116
Mailing Address - Fax:828-294-0096
Practice Address - Street 1:30 13TH AVE NW
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-3765
Practice Address - Country:US
Practice Address - Phone:828-324-0100
Practice Address - Fax:828-324-0101
Is Sole Proprietor?:No
Enumeration Date:2012-11-21
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5005960363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily