Provider Demographics
NPI:1598927642
Name:LEE, JENNIFER KIM (MD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:KIM
Last Name:LEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1101 MADISON ST
Mailing Address - Street 2:SUITE 510
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-1306
Mailing Address - Country:US
Mailing Address - Phone:206-386-6600
Mailing Address - Fax:206-386-2452
Practice Address - Street 1:1101 MADISON ST
Practice Address - Street 2:SUITE 510
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-1306
Practice Address - Country:US
Practice Address - Phone:206-386-6600
Practice Address - Fax:206-386-2452
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-30
Last Update Date:2015-09-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD 60547043208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery