Provider Demographics
NPI:1457137051
Name:LEE, N'KEYMA (RD,LDN)
Entity Type:Individual
Prefix:
First Name:N'KEYMA
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:RD,LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24150 BEATRIX BLVD APT 433
Mailing Address - Street 2:
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33954-3882
Mailing Address - Country:US
Mailing Address - Phone:404-547-1830
Mailing Address - Fax:
Practice Address - Street 1:24150 BEATRIX BLVD APT 433
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33954-3882
Practice Address - Country:US
Practice Address - Phone:404-547-1830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-07
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered