Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katherine R Lee, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1386179125

Katherine R Lee, MD is a Dermatology in St Louis Park, Minnesota. Qualified in 2017, 9 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota, New York and South Carolina.

Years since qualifying
9
Licensed in
MN, NY, SC
In the registry since
2017
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3800 Park Nicollet Blvd
St Louis Park, MN 55416-2527
Phone: (952) 993-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 171 Ashley Ave, Charleston, SC 29425-2206 — (843) 792-1414

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 74167 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Dermatology Physician Taxonomy 207N00000X · Licence 87678 (SC)
Dermatology Physician Taxonomy 207N00000X · Licence 311179-01 (NY)

Record details

NPI number1386179125
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 1, 2017
Last updated in NPPESJune 30, 2023
Certification dateJune 30, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in St Louis Park