Provider Demographics
NPI:1366422842
Name:LEE, KRISTY (MS, CGC)
Entity type:Individual
Prefix:
First Name:KRISTY
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 MASON FARM ROAD
Mailing Address - Street 2:MBRB SUITE 4200; CB 7264
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-0001
Mailing Address - Country:US
Mailing Address - Phone:919-843-3158
Mailing Address - Fax:919-966-4151
Practice Address - Street 1:111 MASON FARM ROAD
Practice Address - Street 2:MBRB SUITE 4200; CB 7264
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-0001
Practice Address - Country:US
Practice Address - Phone:919-843-3158
Practice Address - Fax:919-966-4151
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS