KENDRA B. LEE


Address: 500 W Broadway St, Missoula, MT 59802-4008
Phone: 4067215600

KENDRA B. LEE (NPI# 1982600359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982600359
Entity Type Individual
Full Name KENDRA B. LEE
Other Name KENDRA BETH LONG
Credential M.D.
Practice Address 500 W Broadway St
Missoula
MT 59802-4008
Mailing Address Po Box 7609
Missoula
MT 59807-7609
Practice Telephone 4067215600
Practice Fax Number 4063297524
Mailing Telephone 4067215600
Mailing Fax Number 4067213907
Enumeration Date 2005-06-21
Last Update Date 2020-05-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 11643 MT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA 8398992 05

Other Providers KENDRA LEE

NPI Name Taxonomy Address Enumeration
1366928095 Kendra Lee Social Worker 775 Weatherly Dr., Clarksville, TN 37043 2018-07-16
1467433771 Kendra Michelle Lee Physical Therapist 115 Smelter Ave Ne, Suite 104, Great Falls, MT 59404-1963 2005-11-14
1558970947 Kendra Lynice Lee Social Worker 215 Walnut St Ste 2, Gadsden, AL 35901-5254 2020-07-30
1992323042 Kendra Dawn Lee Pharmacist 301 Greene St, Marietta, OH 45750-3134 2020-07-06
1881173136 Kendra Lee Nurse Practitioner 230 W Washington Sq, Fl 3, Philadelphia, PA 19106-3500 2018-08-08
1275021651 Kendra Gray Lee Counselor 4427 Emerson St, Jacksonville, FL 32207-4969 2018-05-01
1386143501 Kendra Lorraine Lee Nurse Practitioner 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 2018-02-02
1710486980 Kendra Taylor Lee Massage Therapist 1756 Iowa St, Bellingham, WA 98229-4702 2018-02-02
1477933216 Kendra Lee Physical Therapy Assistant 11 E Augusta Pl, Greenville, SC 29605-1755 2015-06-07
1255664389 Kendra L Lee Counselor 2200 North Loop W, Suite# 351, Houston, TX 77018-8009 2009-09-08

Office Location

Street Address 500 W BROADWAY ST
City MISSOULA
State MT
Zip Code 59802-4008

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205468725 Stephanie Elizabeth Carl Physician Assistant 500 W Broadway St, Missoula, MT 59802-4008 2020-02-12
1942840483 Credena Health LLC Durable Medical Equipment & Medical Supplies 500 W Broadway St, Missoula, MT 59802-4008 2020-01-13
1346880119 Kaylyn Casebolt Desrosier Pharmacist 500 W Broadway St, Missoula, MT 59802-4008 2020-01-09
1689168049 Kacia Bundle Nurse Practitioner 500 W Broadway St, Missoula, MT 59802-4008 2018-06-19
1114424488 Hannah Gilliland Nurse Practitioner 500 W Broadway St, Missoula, MT 59802-4008 2018-04-12
1386164408 Sandra Lynn Cummins Social Worker 500 W Broadway St, Missoula, MT 59802-4008 2017-06-20
1548797152 Joseph M Miller Internal Medicine 500 W Broadway St, Missoula, MT 59802-4008 2017-05-12
1083147664 Matthew Mcgady Physician Assistant 500 W Broadway St, Missoula, MT 59802-4008 2017-04-10
1982135216 Meeka Pradeep Gandhi Pediatrics 500 W Broadway St, Missoula, MT 59802-4008 2017-03-27
1033640370 Abigail Rose Mansch Internal Medicine 500 W Broadway St, Missoula, MT 59802-4008 2017-03-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154945921 Montana Endoscopy Center, Pllc Clinic/Center 1930 W Broadway, Ste B, Missoula, MT 59802 2020-06-08
1194364091 Tommie Lynn Perusich Nurse Practitioner 1120 Cedar St., Missoula, MT 59802 2019-12-26
1386122752 The Hope Health Alliance, Inc. Case Management 314 White House Ln, Missoula, MT 59802 2018-07-30
1881181444 Carol Anne Lesser Massage Therapist 1918 Birch St, Missoula, MT 59802 2018-04-19
1528587581 Missoula Aids Fund, Inc. Clinic/Center 1500 W. Broadway Suite A, Missoula, MT 59802 2017-09-11
1942740667 Gabrielle Shulman Counselor 415 N Higgins Ave Ste 14, Missoula, MT 59802 2017-02-28
1053798736 Endurance Physio Clinic/Center 214 E. Main St, Missoula, MT 59802 2015-05-01
1720481971 Anna Golding Counselor 1325 Wyoming Street, Missoula, MONTANA 59802 2014-10-02
1003255803 Jennifer Dawn Danielson Speech-Language Pathologist 2408 Duncan Drive, Missoula, MT 59802 2013-06-14
1437595725 Partnership Health Center Inc Clinic/Center 1150 Sherwood St, Missoula, MT 59802 2013-05-14
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194257865 Christopher Hallberg Family Medicine 445 W Alder St, Missoula, MT 59802-4121 2017-03-31
1881051340 Amber Leigh Guy Family Medicine 1830 N Dickens St Apt 4, Missoula, MT 59802-5005 2016-01-28
1861889024 Andrew Scott Stritzke Family Medicine 2831 Fort Missoula Rd, Buidling 2, Ste 146, Missoula, MT 59804-7401 2015-04-24
1205084167 Robert Franklin Stanchfield Family Medicine 77 Brookside Way, Missoula, MT 59802 2008-09-04
1144353707 Sam A Wallace Family Medicine 341 W Pine St, Missoula, MT 59802-4119 2007-03-13
1639254709 Timothy J Mccue Family Medicine 41 Wildground Ln, Missoula, MT 59802-3335 2006-10-26
1780769901 Gregory D Hutton Family Medicine 1001 E Broadway St, Suite 10, Missoula, MT 59802-4970 2006-10-26
1568543106 Harold Mark Coward Family Medicine 3700 S Russell St Ste 115, Missoula, MT 59801-8579 2006-10-18
1720171994 Sandra Lauren Shepherd Family Medicine 2825 Fort Missoula Rd Ste 115, Missoula, MT 59804-7403 2006-10-02
1922106004 James H Quirk Jr. Family Medicine 2230 North Reserve St, Missoula, MT 59808 2006-09-20
Find all providers in MISSOULA

Competitor

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City MISSOULA
Zip Code 59802

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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